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Customer Service Health

Location:
Winston-Salem, NC, 27101
Posted:
April 02, 2016

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Resume:

Shana N. Rhynehardt

336-***-**** act63q@r.postjobfree.com LinkedInURL

SENIOR HEALTH ADMINISTRATOR

Involved and passionate community leader with an aptitude for problem solving. Dedicated healthcare professional with 13+ years of clearly illustrated success utilizing operational strengths to overcome corporate organizational barriers. Highly motivated with a particular interest in developing meaningful strategies to improve the health of diverse populations. Areas of expertise include:

Professional Experience

Advanced Personnel Resource-Polo Ralph Lauren 2015

Business Unit Supplier

Recruited for this highly integral role to increase customer loyalty and revenue for the Ralph Lauren brand internationally.

Key Contributions:

oResponsible for ensuring customer satisfaction by creating a legendary customer experience with every customer, resolving complaints in a professional manner and assisting with other customer-related needs.

oMaintained expert knowledge of the Ralph Lauren Brand and took ownership of complex issues to ensure the highest level of customer service excellence while achieving client resolution.

oSustained an open line of communication with the management team in support of our department’s service level goals

BLUE CROSS BLUE SHIELD NC 2008-2014

Patient Advocate

Recruited for this highly integral role to implement benefit programs according to self-insured and fully-insured group contracts.

Key Contributions:

oDeveloped plan procedures that identified opportunities for improvement; communicated to affected parties including enrollment, billing, membership, benefits and claims.

oDelegated to team to help improve organization effectiveness. Researched and resolved claims issues for all member stakeholders across products, researched and analyzed spreadsheets to identify trends for operational improvement.

oMaintained clear understanding of Corporate Medical Policy and took ownership of complex issues to ensure the highest level of customer service excellence while achieving client resolution. Maintained an average quality score of 98%.

MONARCH, INC. 2008

Community Support Specialist - Paraprofessional

Hired as a key team member to aid in the development and implementation of Person Centered Plans (PCPs) for Mental Health/Substance Abuse individuals

Key Contributions:

oProvided leadership and project support to internal staff by maintaining medical records in compliance with confidentiality guidelines and the development of PCPs for external clients.

oSupported outreach efforts by counseling and motivating clients with goal attainment in accordance with their PCP and providing access to relevant resources.

NEW VISION VIDEO

Manager 2007-2008

Hired to provide complete oversight for the day-to-day operations of a growing retail franchise.

Key Contributions:

oProviding key leadership by coordinating and delegating staff responsibilities, managing inventory, handling all financial dealings, banking transactions and accurate record keeping.

oResponsible for ensuring customer satisfaction by creating a personalized customer experience with every customer, resolving complaints in a professional manner and assisting with other customer-related needs.

Shana N. Rhynehardt – Page two

336-***-**** act63q@r.postjobfree.com LinkedInURL

WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 2006-2008

Nutrition Technician

Assisted in the daily team operations of a wide-ranging nutrition services department for a dynamic 800-bed acute care facility.

Key Contributions:

oExecuted referrals from a multidisciplinary team of professionals to ensure the appropriate fulfillment of dietary needs for the specific health needs of each and every patient.

oWorked one-on-one with patients to maintain adherence to diet, facilitate patient satisfaction and serve as a liaison between Physician, Dietitian and patient.

WAKE FOREST UNIVERSITY 2002-2006

Research Assistant

Assisted in the management of a 5,500 sq. ft corporate health facility and managed approximately 3 part-time employees.

Key Contributions:

oSupported administrative duties related to study subjects and Principal Investigators, retrieved relevant research material and assisted in the writing of proposals and referrals.

oAided in data collection specific to current study and acquired, measured and organized health data statistics for the research team.

Education and Professional Achievements

Masters (MHA) in Health Administration (2013)

Strayer University – Raleigh, NC

Bachelor of Science (BS) in Health & Exercise Science

Minor in Women & Gender Studies (2006)

Wake Forest University – Winston Salem, NC



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