Customer Service Insurance

YOSHA L. BAILEY

*** *. ************ **. *******, TX 75090

(C) 214-***-****/ ********@*****.***

PROFESSIONAL SUMMARY: Customer service professional with over 20 years of various experience in retail, medical, call center, warehouse and transportation career areas. Looking for long-term employment where a sense of responsibility, an ability to work as a team member and communication skills are assets; which allows for advancement in both learning potential and professional development, which challenges me to effectively display my learned skills.

SKILLS: MS Word, Excel and Outlook, Typing 40 wpm, Product Knowledge, Quality Focus, Problem Solving, Market Knowledge, Documentation Skills, Listening, Phone Skills, Conflict Resolution and Analyzing Information.

EDUCATION: ATI Technical School – Phlebotomy Certification Dallas, TX 03/2012 – 05/2012

ATI Technical School – Medical Assistant Certification Dallas, TX 12/2009 – 11/2010

Richland College – Associates’ Degree Arts & Humanities Dallas, TX 08/1993 – 06/1995

MILITARY: United States Navy 2009

WORK HISTORY:

Provider Outreach Associate for Cigna

Mindlance – San Diego, CA 92126 04/2015 – 02/2016

Performed daily outbound calls to existing providers to ensure accurate data was on file in multiple systems.

Operated data entry systems to verify and update the information obtained during the outbound calls, while detecting and correcting any errors.

Educated existing providers on electronic services; and responsible for reporting and tracking provider calls.

Call Center Representative

PFSweb – Dallas, TX 75270 04/2014 – 08/2014

Took daily inbound calls for order placement, while up selling and cross selling additional items.

Maintained a sense of urgency in responding to the customers’ needs by being attentive and going above and beyond average customer assistance.

Completed accurate and efficient order entry and maintenance of customers’ files.

Benefits Verification Specialist

Addison Group – Dallas, TX 75254 03/2013 – 05/2013

Responsible for verifying patient benefits coverage, to ensure necessary procedures were covered by an individual’s provider.

Entered data in an accurate manner, as well as updating patient benefit information in the organization’s insurance system.

Contacted doctors’ offices and insurance groups to verify patients’ coverage, copays and deductibles.

Home Health Aide

Quality Home Healthcare – Sherman, TX 75090 02/2013 – 03/2013

Supported patients by providing housekeeping and laundry services; shopping for food and other household requirements such as toothpaste, soap, deodorant, toilet paper, shampoo and lotion.

Prepared and served meals, snacks and ran small errands.

Maintained a safe, secure and healthy patient environment by following asepsis standards and procedures.

Medical Collections Agent

Capio Partners – Sherman, TX 75090 11/2012 – 02/2013

Responsible for collecting payments for all debts relating to health care, including hospitalizations, surgeries and routine check-us.

Offered lower payment options or created individually tailored payment plans unique for “special” clients’ financial situations in order to facilitate payments.

Notated payment agreements and informed my supervisors for later follow-up calls.

Benefits Verification Specialist

Aerotek Scientific, LLC – Richardson, TX 75080 11/2011 – 02/2012

Verified insurance eligibility and benefits for patients of the healthcare facility. Obtained verbal and written authorization for planned medical treatment of patients from appropriate sources.

Validated insurance information of patients for accuracy and completeness; resolving all discrepancies as needed.

Communicating any financial responsibilities and additional information necessary for processing insurance claims.

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