M aisha Maddox

m acf19i@r.postjobfree.com

704-***-****

Personal Statement

To obtain employment with your company. This position will be a challenge that I plan to overcome by using

m y skills and knowledge. My experience will enhance customer satisfaction and improve productivity. I plan

to deliver outstanding service to your company with my hard work and my ambition to succeed and exceed

your overall expectations for this position.

Work History

UHC Agent

Connextions - Concord, NC - February 2014 to Present

Customer Service for one of the nations’ largest health care providers. This position will provide excellent

customer service to this provider's senior members. The customer service associate will answer me mber

questions regarding premiums, claims, payment status, providers in network, etc. Associates will receive calls

from providers and brokers verifying coverage and status of payments. This position promotes advocacy for

the member and focuses strongly on customer satisfaction. Computer skills and data input skills are critical to

be successful in this position.

Patient Coordinator

C3 HealthcareRx - Richmond, VA - July 2013 to January 2014

Responsible for taking an inventory of current medications, comple ting patient health questionnaires, obtaining

health insurance information for billing purposes, and explaining how our program works. This position will

also serve as a backup for the in house pharmacy. Other duties that assist in keeping the operation or ganized

and functional, Conducting follow up in home visits with patients.

M edication Technician Abaccus - Chesterfield, VA - March 2013 to July 2013

Label and package prescription medications in preparation for clinician dispensing. Deliver and document

delivery of dispensed meds. Maintains records, files records and prepares routine reports. Conducts

inventories, prepares orders and stocks medication and pharmaceutical supplies.

ALV/Extemp Technician; Packing medication

Pharmacy Health Solutions - Richmo nd, VA - November 2012 to March 2013

in blisters or artromick to be sent to facility, compiling spreadsheets for inventory purposes; process medication

claims thru insurance for payment; Obtaining Prior Authorizations; work with Physician and facility to g et

m edications change; Compound medication and making sure compounds are logged in log book.

F illing Technician/Cycle Fill

Remedi SeniorCare Pharmacy - Richmond, VA - January 2011 to December 2011

Packing medication in bingo cards, vials, processing billin g claim for prescriptions, Medical Records, Cycle fill

m edication, verifying label to what is dispense, ordering non -stock medication, Inventory, compound

m edications for dispensing.

Appeals Coordinator

Coventry Health Care - Glen Allen, VA - September 201 0 to December 2010

Researches member information in response to difficult inquiries, including, but not limited to, authorizations,

payments, denials, coordination of benefits. Responsible for ensuring all timeframes throughout the grievance

process are me t, Responsible for reviewing correspondence from members requesting to file a grievance.

Coordinates a response to the member in compliance with all specified timeframes. Responsible for

coordinating the collection of all information and presentation to th e Medical Director and/or Appeals

Committee. Assesses investigates, and resolves difficult issues to achieve member satisfaction

Billing Representative/On-Call Pharmacy Technician

NeighborCare Pharmacy - Richmond, VA - June 2006 to September 2010

Duties: Making outbound calls to insurance companies and facilities, Verification of insurance, Ensuring

payment is guaranteed, ensuring prior authorizations are obtained, acting as intermediary between customer'

s ite and Regional Billing Office, confirm orders an d verify coverage. Sending emergency doses of medications

to back-up pharmacies; dispatching drivers for medication pick -ups, Packaging medication for facility

deliveries. Assists the pharmacist(s) on duty as their primary responsibility; performing these duties as the

number one priority, Fills daily drug orders accurately and efficiently in a timely manner, under the supervision

of a pharmacist, Assists in processing returned drugs and recycle/dispose per procedure, Review facility prelist

and prepare 31 day cards with the appropriate drug for the full fill, Assisting nurses with obtaining medication

doses from PIXIS. Billing medical supplies to Medicare or the individual's health insurance.

F inal Document Procurement Specialist

NeighborCare Pharmacy - Richmond, VA - August 2006 to December 2006

Duties: Completing research using the

Internet to find missing documents; requesting check, processing mail, contacting settlement agents

requesting documents so the loan sale can be completed.

Tier I Customer Servi ce Representative

Pearson Government Solutions - Chester, VA - August 2005 to September 2006

Duties: Answering inbound call from beneficiaries regarding Medicare coverage; escalating to the right agency

or upper level when appropriate, enrolling in programs run by CMS, handling irate callers.

Inside Sales Representative

Circuit City Corporate Office - Richmond, VA - March 2004 to September 2005

Duties: Inquire about product satisfaction and offer extension on existing warranty or extend

offer to purchase new City Advantage Plan; discuss benefits and optimal plans.

Style Expert and Relief Key Holder

Lane Bryant - Chesterfield, VA - October 2003 to February 2005

Duties: Assist customers with the selection and purchase of garments, made suggestions with regards to style

and accessories for enhancement to customize look and fashion, assist with returns and exchanges.

EDUCATION

Criminal Justice

Virginia State University - Petersburg, VA 2003

to 2005

Diploma in Business and Technology

West Point High School

1999 to 2003

ADDITIONAL INFORMATION

Expert knowledge and abilities in written communication, a patient listener,

s trong skills in time management, prioritizing tasks, cooperatively work with

others to produce and deliver required work, has a positi ve attitude and enjoys

helping others.

SKILLS

* MS Office (Word, Excel, Access, and PowerPoint)

* Strong written and oral communication skills

* Work well in both teams and self-directed environments

* Accurate, efficient and detail oriented

* Able to meet deadlines and work with minimal supervision

* Possess a high degree of initiative and creativity

* Strong interpersonal and organizational skills

* Can manage a high -volume workload

* Use tact and diplomacy to find common ground and achieve win -win outcome

* Strategic-relati onship/partnership-building skills

* Listen attentively to provide excellent customer service

* Handle/dispute resolutions

* Knowledge of HIPAA

* Knowledge of CMS

* Medical Terminology

* ICD-9 Codes

* Knowledge Medicaid

Contact this candidate