Shanarian Mason

Missouri City, TX *****

ad4280@r.postjobfree.com

346-***-****

Current position is intake triage for Elevance Health working appeals and grievance Work Experience

Customer Service Representative (Medicare)

UnitedHealth Group - Houston, TX

March 2022 to February 2024

1. Assisted associates in negotiating the waters of the health care system including but not limited to providing assistance in resolving complex claims issues as well as providing guidance to members that appear to be symptomatic so that they can obtain the medical attention that is required. Answered questions as they related to their Benefit Plans also placed outbound calls to providers, insurance carriers on behalf of members. I am fully trained for Medicare A,B,C & D, over the counter inquiries as well as Medicaid plans

Appeals and Grievance Specialist

Elevance Health - Remote

January 2020 to February 2022

I handle practitioner and member regarding non payments of claims, incorrect processing of claims as well as resolve grievances that may arise from these issues. I am trained in facets, GBD, medisys and Macess. I am trained for Medicare Parts A,B,C & D plans. In order to resolve cases I use established action plans based on case facts as well as state and federal compliance regulations. Customer Service Representative and Medicaid Accounts AvanteUSA - Houston, TX

September 2009 to March 2014

Inbound/outbound calls, dialer managing, maintaining a budget,customer service skills, account managing, data entry and win debt excel as well as skip tracing tools as well as training others Collections Representative

Allied Data Corporation - Houston, TX

March 2005 to September 2008

Inbound/outbound calls, dialer managing, maintaining a budget,customer service skills, account managing, data entry and win debt excel as well as skip tracing tools Collections Representative

Education

High school diploma

Thurgood Marshall High School - Missouri City, TX

August 2002 to May 2005

Skills

• Call Center (10+ years)

• Account Management

• Customer Support (10+ years)

• Negotiation

• English

• Fluent

• Customer Care (10+ years)

• 82 wpm (7 years)

• CRM Software

• CSR (9 years)

• Customer Service (10+ years)

• Cold Calling

• Triage (Less than 1 year) Languages

• Live chat

• Conflict management

• Pricing

• Medical terminology (10+ years)

Contact this candidate