Malinda Evans
**** ******* ***** *****, ** ***** 225-***-**** **************@*****.***
Objective
Highly motivated and dedicated individual seeking a position where I can use my exceptional interpersonal, communication, and organizational skills to resolve customer issues and foster a positive relationship between the customers and the company, while providing superior customer service support. Also, fully utilize attention to detail skills, working well with others, and administrative experience with a passion in a way that will advance company goals.
Education
Associate of science Virginia college of Baton Rouge April 2016
·Medical Assistant: Certified Medical Assistant: April 2016
·Certified Phlebotomy Technician: April 2016
·Dean’s List: GPA 3.6
Skills & Abilities
Administrative/Clerical Procedures
·Electronic Medical Record (EMR)
·Insurance Verifications/Authorizations
·Prior Authorization (MedD)
·Registrations
·HIPAA Compliance
·Microsoft Office
·Call Center/ Customer Service
·Payroll/Collections
·Active Listening Skills
·Building Customer Loyalty
·Attention to Details
Experience
Med D Prior Auth IB Phone Tech Rep II CVS Caremark/SGS Consulting November 2023 – August 2024
• Virtually training and working utilizing multiple software systems to complete Medicare appeals case reviews.
• Meeting and exceeding government mandated timelines and complying with turnaround time, productivity, and quality standards.
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence.
• Working independently but be self-aware enough to know when to ask for help
• Effectively communicate verbally with members and prescribers while managing multiple software systems.
• Critical thinking, problem solving, and trouble-shooting steps to communicate the results to leaders or IT.
Remote Data Entry/ Site Coordinator Non-Profit Organizations February 2020 – Present
·Administrative Duties (e.g., emailing, faxing, copying, and filing).
·Maintain confidentiality of all client’s documents and proprietary information.
·Input timesheets into the database system to process payroll.
·Maintains database by entering new and updated customer and account information.
·Prepares source data for computer entry by priorities, compiling, and sorting information.
·Enters customer and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format.
Remote Call Center Support Services Inktel Contact Center Solutions October 2020 – April 2021
·Independent contractor that provides call center services that receives and responds to inbound and outbound calls in a proactive and professional manner.
·Maintain confidentiality of all client’s documents and proprietary information.
·Interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints.
·Identify and take ownership to resolve customer situations by phone, chat, or email.
·Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
·Participate in training programs and review meetings provided by the support company to obtain the specialized skills required to service clients.
Customer Service Representative Louisiana Healthcare Connection August 2019 –
March 2020
·Greet patients in a courteous and professional manner.
·Interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints.
·Obtain authorization and verification of required insurance.
·Demonstrated knowledge of insurance plans and explanation of previous accounts.
·Refer unresolved customer grievances to designated departments for further investigation.
·Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
Patient Access Rep I Our Lady Of The Lake Hospital December 2016 – August 2019
·Greet patients in a courteous and professional manner.
·Accurately obtain registration of patient’s demographics, financial information, and relevant notes associated with patient’s encounter.
·Obtain authorization and verification of required insurance companies.
·Demonstrated knowledge of insurance plans and explanation of previous accounts.
·Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents.
·Calculate and collect copays, deductibles, deposits, and amounts due.