Shalonna Porter

**** ******* ***** **.

Fresno, Tx 77545

Contact Number 832-***-****

Email:ad2vem@r.postjobfree.com

CUSTOMER SERVICE SUPPORT / ADMINISTRATION

PROFILE SUMMARY

●Highly qualified, goal oriented worker with extensive experience in Customer Service.

●A very hard working, broad minded and loyal team player that adapts well to change.

●Makes solid decisions that encourage others to work up to and beyond company and customer expectations

●Resourceful, creative problem solver with proven aptitude to analyze and translate complex business requirements

and problems.

●Accustomed to handling sensitive/confidential records.

●Responsible and dependable Customer Service Representative with over 10 plus years’ experience with different companies across Texas.

●Highly focused and organized selfstarter with effective business skills and demonstrated ability to manage diverse

technical aspects.

●Poised and competent with demonstrated ability to easily transcend. Thrive in deadline driven environments.

●Maintain relationships with all lines of business.

●Areas of expertise include: Customer Relationship Management, MS Word, Excel, Outlook, PowerPoint, and Word Perfect, Athena Medical System, and Cisco.

●High School Diploma obtained 2004 from John Foster Dulles High School

●Pharmacy Technician Completed at Sanford Brown College 2009

EMPLOYMENT HISTORY

(Cigna)

Position- Prior Authorization Representative June 2022-February 27 2023

●Responsible for initiating Prior Authorization from Doctor’s and Facilities.

● Responsible for verifying Members if they are currently active through the Health Plan.

●Responsible for checking the status of cases that have been initiated, to see if the cases are Pending, MD Review, RN Review, Denied or Approved, provide the Denial reason and dates and the Affective dates if approved.

●Speak with Nurse Reviewers if requested by the Physician or the Facility to provide additional clinical information.

(Biomat USA)

Position- Donor Center Technician July 2019-October 2021

●Responsible for processing Donors in a timely manner

●Provided, coaching and training with oncoming Donor Technicians as well as current Technicians

●Maintained daily, monthly and quarterly reports.

●Determined Hematocrit and Protein through Finger stick while using Refractometer and Hematastat.

●Provided appropriate feedback for unsuitable donors.

●Insured customer satisfaction and build rapport with donors to ensure long term donations.

CSL Plasma)

Position- Donor Center Technician Trainer April/2018-03/26/2019

●Responsible for processing Donors in a timely manner

●Provided, coaching and training with oncoming Donor Technicians as well as current Technicians

●Maintained daily, monthly and quarterly reports.

●Determined Hematocrit and Protein through Finger stick while using Refractometer and Hematastat.

●Provided appropriate feedback for unsuitable donors.

●Insured customer satisfaction and build rapport with donors to ensure long term donations.

(United Healthcare)

Position- Health Care Customer Service Representative October/2016- April/2018

●Assist clients’ with health and wellness needs, help them create their ideal solution, from preventive care and doctor visits to coverage for emergency services and prescription drugs, Also filed complaints and Grievances when needed. Familiar but not limited to EOB, EOC, Citrix, Marqs,, and VCCD applications. Assigned and provided Primary Care Physicians per member request. Knowledgeable of diverse portfolio of products with an affordable range of deductibles and monthly premiums.

Slow Dough Bread Co. June/2014 – April/2016

Position- Driver Houston, Tx

●Bread supplier to some of Houston’s most respected restaurants.

●Maintain log and work reports.

●Maintained the warehouse and responsible for keeping count of items received, also used a pallet jack to lift and wrap heavy loads being delivered to customers.

General Dynamics (Call Center) - Houston, TX May/2013-June/2014

Position — Customer Service Representative

●Assist consumers on enrolling for health coverage through the Marketplace.

●Engaged with consumers to help choose the best health coverage plan suitable for his/her health. Verified eligibility of plans that would accommodate their health conditions and financial status.

●Modify treatment plans to comply with changes in clients' status.

Sprint-Houston, Tx February/2007-April/2013

Position: Customer Service Representative

●Responsibilities: Assist customers with personal and business accounts, trained to navigate through various screens, goal based environment. Help assist customers with billing inquiries and took electronic payments and made sure that all issues were resolved to customer’s satisfaction.

References available upon request

Contact this candidate