Post Job Free

Resume

Sign in

Customer Service Medical Billing

Location:
Houston, TX
Posted:
December 31, 2022

Contact this candidate

Resume:

Adrian St. Hill

Houston, TX *****

Email: adudfl@r.postjobfree.com

Phone: 832-***-****

SUMMARY OF QUALIFICATIONS

I am a MBA professional, and business owner. I have worked in Banking, IT industry, Healthcare Industry. and owned my own business for several years. In my next role, I want to explore positions in Business Administration or Management. I have excellent knowledge of business processes, and Operations, Social Media Marketing, analyzing complex problems and finding solutions. I also have extensive working experience with customer service supervision, and training and development. I will be an asset to your organization.

EDUCATION

Bachelors of Science in Business Administration 2006

Mississippi College, Clinton, Mississippi

Masters of Science in Business Administration 2014

Western Governors University, Salt Lake City Utah

Certified Assistant Project Manager

Completed Assistant Project Manager Certification (CAPM) certification classes in April 2014

Houston Community College, Houston TX

ASSURANCE

MEDICARE SALES AGENT Houston, Tx 01/2020– Present

Sold Medicare Advantage Plans during OEP and AEP.

Assist Medicare recipients by providing them with benefits they need. I provided solutions to their vision, dental, over the counter (OTC), hearing, flex cards, give back options, and food and utility solutions.

Ability to create trust with potential customers and created a relationship to where they only wanted to speak with me pertaining to their Medicare.

Every customer was offered a personalized Medicare plan to their needs, and I dug deep to find other needs that our customers needed but never stated was that need was.

NEW DEAL LOGISTICS

OPERATIONS MANAGER Houston, Tx 02/2020– 01/2022

Hired and trained all drivers and ensured they understood their routes, performance metrics, daily objectives and safety requirements.

Managed all new hires through the interview, hiring, and placement at Lowes Stores

Interfaced between Lowes, their Customers and New Deal Freight to ensure that customers were satisfied, and our employees were satisfying our customers.

Developed KPI for performance metrics.

Responsible for ensuring background checks, drug testing, and handling complex cases pertaining to hiring of drivers.

Ensured the seamless day to day flow of the business

Used Salesforce and Trakstar to manager workflow, leads, sales and profitability

Drove to Austin, San Antonio and College Station to ensure our employees were initiated into the Lowes driving system, and their first day was a success.

UNITED HEALTH CARE

MEDICARE SERVICE COORDINATION TEAM Houston, TX 04/2017-06/2020

Assisted Medicaid patients in COB issues

Coordinated care for member. I ensured the member find a PCP, setup their appointments, and ensured they were able to get to their doctors’ appointments.

Resolved Pharmacy locked in issues and mediated between the Pharmacies and Optum Help Desk to find solutions for our members.

Understands Medicare Compliance

Coordinated transportation to medical appointments and the members pharmacy

Worked with the elderly to ensure Medicare payments were received

Walked through Medicare process with new members, and ensured they understood Medicare part A,B,C and D

Researched claims and resolved medical claim related issues.

Contacted Hospital and medical billing offices and ensured the claim and billing was correct as charged to the member.

Contacted collection agencies to help resolved incorrect medical billed amounts that were not owed by the member.

Supported Medicaid and Medicare patients for these states. Maryland, Michigan, New York, Washington, Arizona, Iowa, Wisconsin, Florida, Pennsylvania, New Jersey, and Texas.

Answered questions pertaining to New Medicare and Medicaid plans then conferenced members to sales to finalize the sale.

CHIEF EXECUTIVE OFFICER (My Own Business)

HILLS GLOBAL ENTERPRISE Houston TX 01/2007 – 11/2020

Provided Website building Services, and blog modification services to clients

Marketed Internet Marketing Products and Physical Services Online

Built websites and blogs for clients and implemented SEO strategies to rank websites on the first page of search engines thus increasing sales.

Trained employees in Search Engine Optimization (SEO) and Social Media Marketing

Social Media Campaigns Using Facebook, YouTube, Google Display Network, Paid Search and Instagram

Established business contacts by cold calling and appointment setting

Provided Internet Marketing Services to companies that needed to increase revenue

Ensured that Above and Beyond” support was delivered to customers

Created High Converting Landing Pages

Created High Quality WordPress Websites and Lead Generation Campaigns

BILLING BUSINESS ANALYST (Contract)

XEROX Houston, TX 11/2014-07/2017

Balanced ledgers of clients, and took payments over the phone

Perform reconciliations to ensure the client’s account balance

100% phone support to clients that needed help with their residential accounts

Resolve end of bill cycle and end of month billing issues

Manage customer calls and complaints regarding billing

Interact with clients to come up with resolutions that involves credits or protracted billing

Setup and supported bulk accounts.

Resolved customers with seasonal billing issues.

INCIDENT RESPONSE CENTER ANALYST (Contract)

CHASE BANK/Collabera Houston TX 01/2010– 11/2014

Supported Oracle, VM Ware, Mainframe, TSYS, BBM, AS400, Avaya, Cisco Desktop Phones, Citrix, Mainframe, SQL, Oracle AND VIRTUAL DESKTOP INTERFACE (VDI)

Configure I Phones, iPad, Android, and Blackberries to access internal and external trader data feeds, and all wireless devices

Assisted Chase Employees including Chase Officers with Technology Concerns

Fixed Printers, Remote Access Software, Active Directory, MS Lync and MS Office Software

Received recognition for exemplary performance, customer service, and problem resolution

LEADERSHIP AND MANAGEMENT SKILLS BEING UTILIZED AT CHASE BANK

Assisted management on teams to improve productivity and quality of client interaction

Involved in management team meetings increase customer service, meet SLA and quality.

Trained new employees and provided one on one mentoring

Prepared reports to provide solutions to improve ACPD, AHT, and TPM

Collaborated with the IT international community (United States, India, Asia, England, Mexico and Europe) to resolve application/hardware issues.

IT BUSINESS ANALYST (Contract) 10/2012 – 11/2014

CAPITAL ONE-Houston TX

Drove to Bank locations and ensured that all technical issues were resolved the first time

Ensured that all technical needs were resolved, and all systems were working at optimum

Supported all executives of Capital One included, Presidents, Vice Presidents and Corporate employees and recommended internal technology to help solve their IT needs.

Planned my day and executed my plan to ensure that all delegated branches were serviced

Trained employees on software, application, and hardware before I left the branch

Remained 100% responsible break fix, recording and reporting technical issues to upper leadership

PHOTO LAB MANAGEMENT 1998-2013

ECKERDS PHOTO LAB AND BROOKSHIRE

Digitally remastered photos and color balanced them

Processed digital media and created 4 x 6’s, 5 x 7’s, and 8 x 10’s and 11 x 14’s pictures

Trained employees how to effectively process film and digital pictures

Resolved customer questions

I was responsible for satisfying upset customers, finding the root cause of their problem and creating a plan of action to resolve their issue

Responsible for creating a marketing plan to sell more pictures in the community.



Contact this candidate