Chanta Vaughn

Clarksville, TN

ad0iu5@r.postjobfree.com

+1-615-***-****

Authorized to work in the US for any employer

Work Experience

CSR II (Medicaid)

Centene - Nashville, TN

January 2018 to Present

Provide Excellent customer service while working with medicaid members. Solve problems by thoroughly research the issues provided. Respond to all escalated members with patience & respect. Go over different plans in different areas (meridian, trillium, PA health and wellness, Superior health plan). Assist in scheduling preventive screenings as well as transportation if needed. Make sure members are fully aware of their benefits and how to go about using them. file grievances, Check Billing, claims, authorizations, Document thoroughly. Work through a variety of systems care connects, Omni, Scripter Portico Trucare Cloud.

Member resolution specialist (medicare and Medicaid) wellcare healthplans/centene

February 2017 to Present

Provide Excellent customer service. Solve problems by thoroughly research the issues provided. Respond to all escalated members with patience & respect.Go over different plans in different areas. Make sure member is fully aware of their benefits and how to go about using them. file grievance Billing claims authorizations documentation

CSR - Customer Service Representative

Wellcare healthplans - Nashville, TN

June 2016 to Present

Provide Excellent customer service. Solve problems by thoroughly research the issues provided. Respond to all escalated members with patience & respect.Go over different plans in different areas. Make sure member is fully aware of their benefits and how to go about using them. file grievance

Billing

claims

authorizations

documentation

Intake Coordinator

eviCore healthcare - Franklin, TN

November 2015 to June 2016

Intake Representative, responsible for taking inbound, Initiate Authorization request for physicians' offices, imaging centers and patients, gathering information and entering accurate data, processing requests, researching and resolving issues and more. Demonstrate strong customer service skills daily. Skills Used

Typing Skills- Multitask

Problem solving

Caregiver

Helping Hands Home Health Agency - Nashville, TN

August 2015 to January 2016

Responsibilities

Provide in home care for elderly patients. Run errands make a daily list of things to do for the week. Make sure Patient is comfortable at all times.

Assist Member with medication log info on to patients daily medication sheet. Direct Support Professional

Volunteers of America - Nashville, TN

September 2014 to September 2015

Responsibilities

•Assist patients with daily functions

•Assist patients with bathing, dressing, hygiene and grooming.

•Help residents with feeding, lifting and transferring.

•Complete all daily living tasks to enhance the quality of elderly patients. Telephone Sales Representative

Comcast-Xfinity - Nashville, TN

December 2013 to March 2014

Handle customer inquiries, complaints, billing questions and payment extension/service requests. Calm angry callers, repair trust, locate resources for problem resolution and design best-option solutions. Interface daily with internal partners in accounting, field services, new business, operations and consumer affairs divisions.

Telephone Interviewer

Market Strategies International, Inc. - Nashville, TN September 2012 to November 2013

Set specific marketing goals Design and implement marketing strategies aligned with business targets Develop digital campaigns to increase web traffic Analyze sales and marketing metrics Forecast market trends Research market to identify new opportunities Generate innovative ideas to promote our brand and our products Address advertising needs Ensure brand consistency through all marketing channels Use customer feedback to ensure client satisfaction Liaise with internal teams and ensure brand consistency

Education

hs diploma

Academy at Old Cockrill - Nashville, TN

2009 to 2010

Skills

• Medical Terminology (3 years)

• Senior Care

• Caregiving

• Telemarketing

• Telecommunication

• HIPAA

• Typing

• Cold Calling

• Medical Records

Contact this candidate