Customer Service Benefits Representative
Resume:
Lacy Isaiah
Saint Louis, MO *3138
************@*****.***
Objective Seeking opportunities to utilize the skills and knowledge I have gained and learned efficiently through experience in the military, federal and medical industries.
Summary of
Qualifications
Accomplished Administrative Specialist supervisor with a proven ability to manage and organize an office throughout team building and critical problem solving. Developed advanced skills throughout excel and managing databases with over 1,000 personnel within federal regulations by utilizing the ability to learn in a fast paced environment. Respected leader who is willing to complete the mission. Developed some college studies within legal studies and Currently have over 5 years’ worth of experience as an administrative specialist and outstanding customer service. I have 3 years of experience within a medical atmosphere and can efficiently utilize medical skills I have obtained.
● Management and leadership
● Team oriented
● Advanced problem solving skills
● Superior Customer service
● Highly organized
● Critical thinking
● Excellent communication skills
● Enthusiastic
● Multi-tasking skills and extreme work ethic
● Knowledge of Medical terminology
● Medical experience and skills
● Medical filing and charting
● Medical insurance and billing
● Medical clinical skills
● Military and federal regulations knowledge
Experience
Star Medical Urgent Care
Jacksonville, NC
Intern/ Clinical Medical Assistant
July 2019 - September 2019
● Triage patients in a fast paced environment and prepare for examination by physician.
● Obtain vital signs of patients and escort to examination rooms
● Gather information by communicating with patient and entering medical information into Electronic Health Record portal for physician to observe and access in order to establish proper diagnosis
● Electronically chart chief of complaint, subjective, objective, screenings,symptoms, prescription refills and vital signs taken prior to appointment.
● Review fee schedule and appoint procedures and care for medical billing and insurance companies
● Fax and complete prior authorizations for pharmacies and patient prescriptions
● Perform EKG and prepare patients for X-rays
● Perform IM injections
● Perform capillary punctures on diabetic patients/glucose reading
● Perform venipuncture on patients for further lab research/diagnosis
● Gather urine from patients and conduct urinalysis review results for potential urine culture
● Draw up urine and prepare for urine culture
● Print,scan, and prepare lab results for physician to observe with patient
● Conduct pregnancy and drug test, prepare results for provider to observe
● perform and gather specimen to test for influenza and rapid strep
● Review medical charts, enter additional information into EHR
● Scan patient encounter forms, lab results, medical insurance etc.
● Prepare patient encounter forms associated with billing for billing office
● Answer phone calls and utilize customer service to schedule appointments
Omega World Travel
Jacksonville, NC
Federal Travel Service Agent
May 2018 - present
● Assist federal government employees with travel arrangements within the federal regulations based off their account specifics within an encrypted live GDS system. Sabre program knowledge along with superior and advanced knowledge within the Apollo program/system.
● Schedule government flights, hotel bookings, and car rental within government regulations and compliance.
● Learn and obtain knowledge in regards to account specifics for different federal government departments including ICE, HHS, NPPD, DAFFY, POSTAL, NAVY LODGE.
● Maintain a security clearance along with fingerprinting due to working with central billed and individually issued government credit cards and form of payment.
● Organize and schedule travel arrangements to successfully process within a year in advance.
● Maintain over hundreds of electronic records by efficiently utilizing critical problem solving skills to come up with an analyzed solution.
● Work in a fast paced environment/inbound call center and resolve customer issues with federal travel arrangements along with payments and billing applied
● Request and review financial invoices electronically in regards to federal travel with customers
● Utilize advanced customer service skills along with supreme phone etiquette and training.
● Communicate with customers utilizing telephone, fax services, and email
● Utilize microsoft word, excel, outlook, gmail, microsoft access, forms, gsa programs, and microsoft access.
● Quality control billing applied for services, fees, personal identification information, travel, and form of payments along with secured required information.
Blue Cross Blue Shield of North Carolina
Jacksonville, NC
Benefits Representative
May, 2017 - June 2018
● Assist members with benefits and explain how they apply in regards to out of pocket cost.
● Review benefits and provide an explanation of benefits over the phone
● Review medical claims and how medical coverage was applied
● Review medical claims and verify they were processed correctly by having a strong knowledge of medical terminology
● Explain deductibles and how coinsurance was applied as well
● Provide a quote over the phone in regards to copays depending on out of network or in network providers
● Make outbound calls to out of network providers in regards to out of pocket cost and billing sent to the patient
● Utilize outstanding customer service to research benefits and speak with members in a fast paced inbound call environment
● scan and review medical records accordingly after reviewing medical claims proficiently
● Preps the documents by removing staples and paperclips, counting the number of pages, assigning missing patient identifiers by looking the patient up in the computerized patient record system United States Marine Corps
Camp Lejeune, NC
Supervisor/administrative specialist
October, 2012 – May, 2017
● Supervised and trained over 40 employees in a fast paced environment, to become efficient in regards to auditing pay and entitlements. Successfully brought the rejection rate down 36% within inbounds section on Camp Lejeune.
● Audited over 3,000 personnel records and finances with a rejection rate less than 5%.
● Received an award titled as a (Meritorious Mast) in regards to outstanding work ethic as an administrator with maintaining a rejection rate less than 5% over a years’ worth of time.
● Conducted monthly training events with a pass rate of 100% after testing on the material was given to the staff
● Reduced complaints and enhanced customer satisfaction by reviewing audits and contacting customers in regards to their pay and entitlements via telephone, email, and fax.
● Managed a database by utilizing excel and access with over 1,050 personnel checking into Camp Lejeune, NC. Created a tickler through excel along with managing it for over 2 years.
● Create, update, and monitor procedures within an office environment in regards to government regulations.
● Conducted a mass audit with over 200 customers in regards to their pay, government forms, and personal information with a success rate of 98% little to no mistakes were common.
● Gained multiple skills within the administrative field which includes bookkeeping, filing records manually and electronically.
● Utilize programs such as Excel, Microsoft Word, outlook, access, QuickBooks, and many more government programs.
● Provide security and safety measures while securing a government facility to prevent hazards.
● Received over 100 ICE comments in regards to providing outstanding customer service along with patience when compared to my peers and was rewarded and recognized by the Commanding officer of Headquarters and Support Battalion.
● Managed appointment booking, scheduled meetings, and coordinated events within a very busy and fast paced environment for over 100 customers on a daily basis.
● Have reviewed and audited over 5,000 customers pay and entitlements within the past 3 years of holding the position as the head supervisor within Inbounds section, Camp Lejeune, NC.
● Screen and direct phone calls, direct customers, provide assistance, and greet incoming customers.
● Expert qualification with the M16A4 rifle along with being combat certified with the ability to adapt and overcome within a hostile environment to complete the mission.
Nursing Assistant
Providence Health Care
Highway 6
Waco, TX 76710
July 2009 - October 2012
● Assist elderly patients on daily tasks including feeding, bathing, and physical therapy along with maintaining hygiene.
● Monitor vital signs along with recording through an electronic system utilizing medical terminology.
● Transport patients safely to and from daily activities
● Maintain health records and medical paperwork within an electronic filing system, along with maintaining HIPAA
● Maintain range of movement with patients to prevent bed sores and restricted activity to the muscles along with blood flow
● Properly transport patients who are overweight within the facility to maintain personal hygiene.
● Record blood pressure, monitor breathing cycles, refill oxygen tanks, and operate medical machinery to safely transport patients within facility.
● Assist charge nurse in any activities he or she may need in regards to the patient.
● Keep the patient environment clean in regards to the state health standards.
● Maintain medical records within an electronic filing system and manually.
● Organize and maintain medical records within medical facility
● retrieving patient medical volumes or documentation to fulfill requests from individuals or departments
● conducting research, medical review, release of information and other special projects deemed appropriate by the Supervisor
● Reviews each scanned image in Vista Imaging Display to ensure the document is scanned to the correct patient, is legible, and properly positioned.
Education and
Training
Kaplan University, associate’s degree of science in legal studies, Ft. Lauderdale, FL, Graduated Miller-Motte College on September 4th 2019 and obtained a diploma and completion certificate as Certified clinical medical assistant. Clinical Medical assisting training clinical hours, certified nursing assistant training, CPR certified through the American heart association.
Administrative specialist training, Camp Johnson, NC Leading Marines training, Camp Lejeune, NC
Marine Corps Combat Training, Camp Geiger, NC
Recruit training, Parris Island, SC
Clinical Medical training and externship (Star Medical Urgent Care) 180 hrs
Contact this candidate