Selena M. Price

*** ******* ******

Reidsville NC 27320

336-***-****

ad4tdt@r.postjobfree.com

JOB OBJECTIVE

To obtain professional employment where my knowledge as well as my experience can prove me to be an asset.

EXPERIENCE

United Healthcare

Benefit Advocate Specialist

June 2016 – Current

Advocate for members by answering questions and solving problems concerning benefits and claims.

•Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence.

•Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options, maximizing the value of their health plan benefits and choosing a quality care provider.

•Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointments scheduling or connections with internal specialists for assistance when needed.

•Assist customers in navigating myuhc.com and other United health group websites and encourage and reassure them to become self-sufficient.

•Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow up with the member.

•Research complex issues across multiple databases and work while support resources to resolve customer issues and/ or partner with others to resolve escalated issues.

•Provide education and status on previously submitted pre-authorizations and pre-determination request.

Sava Senior Care (Brian Center)

Resident Care Specialist

March 2015 -Current

Provide services and care for residents and patients.

Provides personal care and services such as:

a)Assisting with activities of daily living (turning and positioning, bathing and grooming, feeding and mobility)

b)Obtain and records vital signs and weight as assigned.

c)Accurately documents all care as required by company policy and in compliance with state and federal regulations.

Provide non-resident services such as, but not limited to washing wheelchairs and cleaning resident/ patient areas in compliance with infection control procedures.

Contributes to the resident assessment and care plan.

Makes routine rounds on each assigned resident and patient in accordance with established procedures.

Completes required forms and documents in accordance with company policy and state and / or federal regulations

LabCorp

Healthcare Billing Specialist

June 2014 – June 2016

Performs posting of patient’s information at the set production level.

•Work billing exceptions report in an electronic format by utilizing the system tools for resolution or phone calls to the customer for needed billing information and update accordingly.

•Identify trends and ways to help prevent billing exceptions and notify management.

•Alpha Numeric Data Entry

•Microsoft Excel Skills

•Good oral and written communication

AT&T Mobility

Business Customer Service Representative (Key Contact Care)

August 2012-June 2014

I am responsible for answering inbound calls as well as making outbound calls consisting of general information, sales, billing inquiries and troubleshooting. I also did same day floor support which consisted of managing a team of 12-15 employees. I volunteered with many departments within the company such as combined billing, large key contact customer care as well as small business customer care. Other responsibilities consist of;

•Processing customer and account source documents by reviewing data for deficiencies; resolving discrepancies by using standard procedures or returning incomplete documents to the team leader for resolution.

•Entering customer and account date by inputting alphabetic and numeric information on keyboard or optical scanner accruing to screen format.

•Verifies entered customer and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to the screen format.

•Verifies entered customer and account data by reviewing, correcting, deleting or reentering data; combining data from both systems when account information is incomplete; purging fillies to eliminate duplication of data.

•Test customer and account system changes and upgrades by inputting new data; reviewing output.

•Secures information by completing data base backups.

•Maintains operations by following policies and procedures and reporting needed changes.

•Maintains customer confidentiality and protects operations by keeping information confidential.

•Contributes to team effort by accomplishing related results as needed.

•Prepares source data for computer entry by compiling and sorting information as well as establishing entry priorities.

•Credit/inbound and outbound collections, activations, customer service, E-services, revenue, fraud, business and technical/roaming support inquires as well as other responsibilities as required.

•Perform credit evaluation for large business accounts.

AT&T Mobility

Consumer Customer Service Representative (End User Care)

October 2007-August 2012

I was responsible for answering inbound calls and also making outbound calls consisting of general information, sales, billing inquiries and troubleshooting. I also was responsible for same day floor support while managing a team of 12-15 employees.

•Answered customer/client requests or inquires concerning services, products, billing, equipment, claims as well as reporting problem areas.

•Worked in one or multiple queues/skill sets over various customer contact channels.

•I was responsible for improving customer retention through programs and services provided to the customer.

•Utilizes mechanized systems to initiate and complete service orders and handle customer requests.

•Make recommendations according to customer’s needs on features, accessories, upgrades and rate plans.

EDUCATION

Bartlett Yancey High School

General Diploma

Piedmont Community College

Certified Nursing Assistant

SKILLS/QUALIFICATIONS

Windows operating systems, Microsoft systems, Macintosh operating systems, typing and verbal communication and data entry skills.

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