Customer Service/ Administrative

LaNeish C. Wright

*** ****** ****** ~ Akron, Ohio 44311 ~ 234-***-**** ~ ***********@*****.***

Employment History

HealthSpan/ MedaSource

Membership Representative Consultant 122014 to 042015

Supporting Medicare processing and reporting requirements.

Answering, researching, issuing and resolving problems related to medical records

numbers (MRN) and performing any required followup activities.

Facilitating communications across all lines of business to other HealthSpan departments

as I worked in the Customer Relations Department as a Membership Liaison.

Participating in teambased projects and contributing to customer service and operations

improvements initiatives; identifying, coding, batching, scanning and indexing documents

for imaging, and posting payments into MarketProminence.

Diebold/ Advantage Staffing

National Implementation Specialist 012014 to 072014

Maintained a constant information exchange verbal and written with Project Managers,

Project Coordinators, Stakeholders, and Technicians in the IPMO team on projects

scheduled daily, scope of work, any defects that may cause delays, reschedules, and

cancellations as well as problemsolving for solutions to those issues to ensure projects

are completed as scheduled, within budget, and with successful deliverables.

CVS Caremark/ Medix Staffing Solutions

Enrollment Coordinator I 122012 to 122013

Giving attention to detail in processing new Medicare D enrollment applications for validity

and accuracy of demographics for potential enrollees, to prevent processing duplicate

applications in Fazal which could cause TRCs to be generated from the Center for

Medicare and Medicaid Services in Facets, and possibly cause errors and delays in the

enrollees prescription drug coverage and billing in RX Claims.

Attend regular trainings on corporate compliance to make sure all applications and

pharmacy claims submitted adhere to statutory requirements.

PlusOne Communications

Technical Support Representative 102012 to 122012

Respond to incoming customer calls in a telecommunications call center by documenting

the call details, verifying the account to comply with confidentiality statues, and

troubleshooting with the customer while providing empathy and clear communication to

resolve the issue with stepbystep instructions and with the goal of one call resolution to

prevent repeat calls from the customer for the same issue(s).

Chesterfield Resources, Inc./ Alliance Healthcare

Medical Claims Customer Service Representative 122011 to 102012

SummaCare Health Plan/ Stanley Staffing

Medicare Enrollment Specialist/ Sales 092011 to 122011

Maxim Healthcare, Inc.

Home Health Aide 062007 to 022011

Dr. Amanambu/ Pax Medical Services

Medical Assistant Internship 122006 to 022007

Teleperformance USA

Video Tech Agent 122008 to 032009

Education

Certificate

IT University Online

as a Project Management Professional

Focus is on becoming a Certified PMP; attaining the tools to maintain an entire project life

cycle from initiation and planning, thru execution, acceptance, support, and closure.

Anticipated date of completion September 2015

Herzing University Online Madison, WI

Bachelor of Science in Health Information Management

Coursework being completed at a CAHIIM Accredited University with focus on health

data management, health services organizations, healthcare privacy, confidentiality, legal

and ethical issues, healthcare information technology, and business management.

53 credit hours remaining to completion

Brown Mackie College Akron,

OH

Associate of Applied Science in Medical Assisting

Graduation March 2007

Software Skills

Lotus Notes QuickBooksPro Trizetto RX Claims

Excel Marx/ IACS Valencia QXNT

Word InfoX/ MBD Onbase Fazal

PowerPoint MedForce MarketProminence Tapestry

Outlook CICS

Access

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