Nakeita M. Johnson **** Brecknock Ct. Fayetteville, NC 28311 910-***-**** adut6k@r.postjobfree.com

Experienced customer service professional with 10+ years in a call center setting. Handle various calls daily while consistently resolving client issues in a rapid manner.

Highlights:

●Patience Sharp problem solver

● Self-Motivated Communication Skills

● Attention to details Microsoft Word

●Conflict Resolution Expert Microsoft Outlook

●Service Oriented and Friendly Microsoft Excel

●Ability to work under pressure Team oriented and leadership skills

Professional Experience:

Office Administrator- Intern Metro Faces International Modeling Agency Fayetteville NC 2022- Present

●Planned fashion show for North Carolina Fashion Week

●Create spreadsheets with model’s name, size and other information as needed

●Contact multiple designers, vendors and photographers regarding upcoming events

●Recruit models for agency and/ or upcoming events

●Assist with directing modeling and acting class

●Coach models on runway walk

●Speak at events on behalf of the agency.

Medical Biller Specialist Cape Fear Valley 2022- Present

Fayetteville NC

●Duties include verifying patient insurance, work denials and A/R reports.

●Responsible for aging account balances and resolving claim issues with insurance and/or patients for assigned A/R.

●Denied claim follow up, appealing denials, submitting corrected claims and providing medical documents for medical necessity.

●Send medical records when requested.

●Monitor claim denials; rework and resubmit claims.

Administrative Services Only (ASO) - Customer Service Professional

Blue Cross Blue Shield NC 2021 – 2022 (Remote)

●Address all customer service queries in a polite, accurate and timely fashion.

●Type, proofread and edit correspondence and other documents as needed.

●Review notes, records and documents to obtain information to respond to a request.

● Communicate with members and colleagues to answer questions, explain information and address complaints.

● Troubleshoots problems involving office equipment

● Answer member questions regarding processed claims, benefits and eligibility.

Senior Market Administrator (SMA) - Customer Service Professional Blue Cross Blue Shield NC 2020 - 2021(Remote)

● Handle 50+ customer interaction per day giving detailed, personalized, friendly and polite service to ensure customer understanding and satisfaction.

● Follow company Procedure

●Provided members with the most accurate information.

● Verify members' accounts by name, address, date of birth and phone number to comply with Hipaa law.

● Educate members on the billing due date including monthly grace period and new products that members can use

● Assist members with setting up an account online or making a payment through the pay by phone system.

● Trained to educate and answer questions regarding claims that need additional assistance such as medicare crossover, primary explanation of benefits and claims filed in error.

● Transferred calls to the appropriate department

Clementine Live Answering Service - Team Leader Fayetteville, NC 2010-2019

● Answered calls for multiple businesses such as doctor’s offices, hospitals, law offices, towing and landscaping companies from multiple states.

●Trained 20+ employees to operate the software to ensure the information received and relayed accurately.

● Reviewed messages sent to the business office daily to make sure agents were submitting to the correct person on call and to the appropriate office.

●Spoke to office staff regarding office closure, the correct on call personnel and other changes upon request.

● Properly direct inbound calls in the queue to improve call flow.

●Listen and graded agents call to review the quality of the call.

●Performed multiple task upon request

Gabrielle Italian Ice - Co-Owner and Operator Cross Creek Mall 2009-2010

●Provided excellent and friendly customer service to each customer

●Mixed multiple flavors upon customer request

●Cleaned and locked station at closing

●Balanced cash register daily

Education:

●Fayetteville Technical Community College Fayetteville, NC 2010-2012

●Major: Criminal Justice

Robert E Lamberton High School Philadelphia, PA

●Diploma: GPA 3.5

1999-2003

Certification / Awards:

Manpower Employment

Raleigh, NC 2020

●Team Lead Course

Blue Cross Blue Shield NC

●Lid Lifter Award 2020

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