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Location:
Brandon, FL
Posted:
May 08, 2024

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Resume:

Natoya N. Wright,

**** ******* ****. ***** ** ***19

813-***-****

*************@*****.***

Job Objective: To maintain full time employment in a field that gives me daily learning experiences and growth. I am a quick learner and pay attention to details. Education: Blake High School, Tampa Fl, Class of 2002 Diploma Skills: MS Word, Excel, PowerPoint, CRM and Customer Interface, Outlook, Adobe, internet Explorer, Type 46 WPM,

Work History:

02/2023-Current: AdventHealth WFD, W@H/ Remote

Job Title: Collections specialist Supervisor: Charles Sizemore Job Description: Blue Cross Blue Shield team

Open Epic and open my Work Queue

Split the list with my partner

Work monthly projects

Work Coplan reports

Call Bcbs to get the status of a claim

Get claims information from Availity

Call Patients to make sure their coordination of Benefits are up to date Dispute claims

02/2021 – 02/2023: Advent Health Tampa, W@H/ Remote Job Title: Consumer Access Specialist Supervisor: Xiomara Medina Job Description: Addons Team

Pull Addons report from HIM for Government and Commercial accounts Verify insurances and benefit information, Submit/locate authorizations, Run Patient Estimates, Pre-register Patients, by gathering Insurance information, demographics and advising of any Patient responsibility.

Take payments from Patients

Work and Respond to “Stat” emails

Check different portals to verify an authorization is on file or Call Dr. Offices to make sure an Authorization was submitted for patients that are having a surgery or any other Outpatient services

Answer Inbound calls and assist Patients with any Questions 10/2018 – 02/2021: Advent Health Tampa, 12740 Telecom Dr.5th Floor Tampa FL. 33637 Job Title: Insurance Verifier/Precertification Rep Supervisor: Pamela Lawrence Job Description:

Pull hospital report from the day before for all Inpatient, Observation and Rehab patients. Verify insurances and benefit information, Submit authorization request, Run reports to determine if any self-pay accounts now have insurance information added to verify and send out Work items

Check different portals to verify an authorization is on file or Call Dr. Offices to make sure an Authorization was submitted for patients that are having a surgery or any other Outpatient services

Undischarged and re discharge Patients per nurse request Update and provide policy changes to the team, ex: how to submit an auth or processes Create Spreadsheets, and Skeleton notes. Clear RQA errors, Assist in Training new members, and gave solutions for issues/questions, Assist my Supervisor with projects

6/2018- 10/2018: DS Services

200 Eagle Landing Blvd. Lakeland, Fl. 33810

Job Title: Customer Care Agent Supervisor: Jeanette Perez Job description:

Process payments over the phone, Email local branches, Sent service escalations to route managers, Send messages to route sales representatives. Assist customers with setting up their delivery profile, online accounts and their personal information. Advised customers about billing, scheduled delivery dates, setting up cooler exchanges, and the frequency of their deliveries

03/2017-09/2017: Humana Inc. 5701 E. Hillsborough Ave. Ste#2100 Tampa, FL 33610 Job Title: Customer Care Specialist Supervisor/ Steven Warren Job Description: Take Inbound calls from Humana Medicaid members, discuss their coverage, change primary care providers, update demographics, discuss claims, discuss medication coverage, send correspondences, order ID cards, make outbound calls to providers to discuss claims and help members find In network providers. 10/2014-03/2017: Humana Market Point/ Humana Inc.-Customer Care rep 5701 E. Hillsborough Ave suite #2100 Tampa, FL 33610 Integrated Specialist/Customer Care Specialist Supervisor: Collette Opperman Job Description: Provided customer service to customers about their bills, claims, plans, coverage, medications, rewards, dental coverage and assist them in locating a provider. Took inbound calls from Humana Medicare members, Answer questions about their health plan, collected payments, change primary care providers, discuss their copays, claims, their medications and cost, providers that are in their plan network, provided resources and made outbound calls to providers. I was also a S.M.E. (Subject Matter Expert) and assisted agents by answering member questions in the chat or walking to their desk to assist, took supervisor calls, and guided agents in the system to find the answers to take care of their members. 6/2013-10/2014: General Dynamics

3020 US Hwy 301 S Riverview Fl. 33578

Customer Service Rep Supervisor: Renee Bronson

Job description: Take inbound calls from CMS Medicare members and Marketplace applicants, discuss coverage, plans, assist with filling out an application over the phone, go over plans and cost. I was also a peer mentor who assisted the new hires during the nesting period to get them ready to take calls by challenging what they learned in training, role playing and doing mock calls, also do side by sides and guide them on the call with the member. I was also a driver which who assisted the trainer in the training class with new hires, helped with the call flow and answer questions regarding the training material, role play and allow the class to listen to my previously recorded calls.

6/2012-2/2013: Capital One- 8705 Henderson Rd. Tampa, Fl. 33634 HVS Customer Service rep Supervisor/ Carolyn La Mountain Job Description: Take inbound calls, Set travel notifications, Explain rewards, Upgrade credit card, assist with credit limits, Also assisted with billing info, collected payments and explained terms.

09/2005-01/2011: Tele Tech/APAC- 111 US Hwy 301 S Tampa, FL 33619, 813-***-**** Strategic Customer Service Rep Supervisor/ Deb Chambers Job Description: Take inbound calls from UPS strategic account customers, Track, Ship and monitor packages, Start Trace on lost packages, Process Claims on lost/damaged Packages Send E-mail to Account Executives, Open/Close UPS accounts Make Outbound call to UPS Terminals, Make Billing Adjustments



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