TRACY LYVETTE WARD

813-***-****

813-***-****

acqn4z@r.postjobfree.com

EDUCATION:

EVEREST UNIVERSITY; 2004

A.S. COMPUTER INFORMATION SCIENCE

KNOWLEDGE & ABILITIES:

KSPM 12,000, MS OFFICE, MSWORD, MS OUTLOOK, BASIC EXCEL, VB, C, C++,

COMMUNICATION SKILLS (ORAL & WRITTEN)

COMPLETED ANATOMY & MEDICAL TERMINOLOGY COURSE (2014)

BASIC KNOWLEDGEOF CPT & ICD CODES

KNOWLEDGE OF HCFA (1500) & (UB92)

EMPLOYMENT HISTORY:

RETAIL MERCHANDISE SUPPORT

MACYS INC.; 05/2013-present

Place product/merchandise to appeal to customer preference. Maintain high customer standards by delivering a clean, neat, and easy to shop store environment. Process merchandise using barcode equipment and assist the Merchandise Team Lead with the placement and replacement on the sales floor.

Communicate issues to Manager and or Merchandise Team Lead.

CUSTOMER SERVICE ASSOCIATE/BILL REVIEW

ROSE INTERNATIONAL INC; (AETNA); 02/2014-08/2014

Receive and respond to PROVIDER, CLAIMANTS, and OR ADUSTER inquiries by being the first contact of person to review medical payment status; while maintaining control of first call resolution.

Effective research claim inquiry by using different database in response to an inquiry.

Document all calls inquiries and resolutions in database.

EMPLOYEE ENROLLMENT SPECIALIST

AEROTEK PROFESSIONALS; (BLOOMING BRANDS); 4WEEK ASSIGNMENT; 11/2013

Receive and respond to inbound calls from employees and assist them with the enrollment process of their company benefits; including medical, dental and vision plans.

Explain differences between the health plans, ex: HSA and FSA and the cost of each plan.

Maintain knowledge and expertise in eligibility, enrollment, and program specifications.

MEMBER SERVICE REPRESENTATIVE

HEALTHCARE SUPPORT STAFFING ;( SUNSHINE STATE HEALTH PLAN); 10/2012-02/2013

Receive and respond to inbound inquiries from MEDICAID members related to eligibility and benefit plan coverage. Gain accesses to the MEDICAID WEBSITE TO CHECK ELGIBILITY FOR MEMBERS. Effectively apply customer care skills, such as empathy, active listening, courtesy, politeness.

Gather data and facts, while navigating through multiple computer screens to resolve customer issues in a timely manner. Answer inbound calls from participating and nonparticipating providers with questions or concerns.

Document and log all members’ issues and resolution.

UTILITY WORKER

AMERICAN WORKFORCE STAFFING INC; TEMPORARY AGENCY; 11/2011-05/2012

Ensuring prior to the start of shift, wearing the correct safety equipment and safety awareness is maintained. Stand long periods of time for production in an assembly line while effectively and company quality standards are met.

Check machinery for proper function and report any areas of concern to Supervisor.

Maintain clean work area, wash dishes and keep orderly workstation; return supplies and merchandise to assigned locations at end of shift.

DATA ENTRY SPECIALISTS

RANDSTAD STAFFING AGENCY; (AMERICAN CANCER SOCIETY); 12/2008-06/2009

Process patients account information and a variety of other forms of documents and reviewing data for errors using standard data entry procedures to input into SIEBEL database and update information periodically for transportation and other needs.

Verifying, correcting and deleting unnecessary data when necessary.

BILLING & ENROLLMENT SPECIALISTS

HEALTHPLAN SERVICES INC; 07/2007-11/2008

Manage 80-100 incoming inquiries from existing or new members regarding enrollment and/or cancellation, by using effective communication skills to strive for single-call resolution.

Navigate between multiple computer screens to find information and resolve customer issues. Document all calls issue and resolutions.

CLAIM PROCESSOR

COVENTRY HEALTHCARE INC; 09/2005-07/2007

Process claim forms (HFCA 1500 AND UB 92) and/or adjustments in accordance with company policies and procedures in a timely manner to meet quality goals.

Made outbound calls to TPA’s and insurance companies for claim status on outstanding claims and verify benefit coverage and then update in Excel.

CUSTOMER SUPPORT ANALYST

KELLY TEMPORARY SERVICES (SYNIVERSE TECHNOLOGIES); 07/2004-04/2005

Respond to inbound inquiries from END USERS and customers (resellers) regarding the change of number portability.

Gather data and facts, while navigating through multiple computer screens to resolve customer issues in a timely manner. Complete all call backs and follow-up, if required. Resolve escalated tickets within the Customer SLA to obtain a high Customer Rating.

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