SKILLS

PROFESSIONAL SUMMARY

WORK HISTORY

TASHAWNDA PICKENS

803-***-**** • ad3rzq@r.postjobfree.com • Wichita Falls, TX 76310 Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate Google Suite systems. Effective at operating within Medicare/Medicaid regulations and Client Service department guidelines to manage telephone calls, emails, letters and in-person requests for assistance. Claim Validity Determination

Client Correspondence

Verifying Coverage

Efficient Data Entry

Medical Terminology

Electronic Authorization

Processing

Payments Posting

Written Communication

Strong Communication and

Interpersonal Skills

Patient Eligibility

HIPAA Compliance Verification

May 2022 - Current

Columbia, SC

Cruise Specialist / Norwegian Cruise Line

Responded to clients' questions, issues, and complaints and found appropriate solutions when needed.

Arranged travel accommodations for groups, couples, executives and special needs clients.

Managed over 50 customer calls per day also increased service by 100%

Assisted clients with flight changes and cancellations to minimize travel disruptions.

Feb 2022 - May 2022

Columbia, SC

Medicare Advantage Customer Service Agent / ResultsCX Demonstrated high attention to detail, organization and management of multiple tasks and projects simultaneously. Documented all communication with applicants and inputted information into system using Care Connect.

Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns. Quickly and accurately answered customer questions, suggested effective solutions and resolved issues to increase customer satisfaction 100%

Nov 2021 - Feb 2022

Columbia, SC

Benefits Verification Specialist / CareMetx

Demonstrated respect, friendliness and willingness to help wherever EDUCATION

needed.

Offered advice and assistance to customers, paying attention to special needs or wants.

Updated account information to maintain customer records. Managed approximately 30 verifications of insurance, prior to patient procedures or appointments.

Apr 2021 - Nov 2021

Columbia, SC

Claims Benefit Specialist / Prudential Healthcare

Followed up with customers on unresolved issues.

Produced monthly reports with advanced Excel spreadsheet functions.

Reviewed completed work for compliance with regulations. Tracked and maintained 50 to 65 records for, Beneficiary department.

Oct 2019 - Mar 2021

Columbia, SC

Claim Adjudicator / Exela Technologies

Carried out day-to-day duties accurately and efficiently Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.

Accurately handled data entry for 170 clients into company-based software.

Coded and processed applications into required electronic formats. Mar 2019 - Sep 2019

Columbia, SC

Claims Processor / WNS Global Services

Responded to 30 to 50 customer calls and emails to answer questions about products and services.

Informed customers about special promotions and provided detailed information for various products.

Collaborated with claims department and industry anti-fraud organizations to resolve claims.

Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.

Aug 2018 - Mar 2019

Columbia, SC

Payment Processor / Conduent

Reconciled accounts receivable ledger to verify payments and resolve variances.

Responded to inbound inquiries regarding accounts and payments. Verified deposits, rectified discrepancies and processed end-of-day paperwork using QuickPay with 100% accuracy

Prepared and mailed invoices to customers, processed payments and documented account updates.

May 2010

Tulsa, OK

Medical Assistant Certification in Medical Assisting Community Care College

Jun 2011

Altus, OK

Medication Aide Certification in Medication Aide

Southwest Technology Center

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