* * * * * T M E LEANNA EDWARDS
SUMMARY
I would like to obtain a position enabling me to utilize my strong communication and leadership skills that offers growth and advancement opportunities. I would like to contribute to the success of the company.
EXPERIENCE
Moda Health
SALES ACCOUNT MANAGER
(January 2023-Current)
Preparing materials for the group renewal
Presenting group renewal information through presentation settings
Ensure groups enrollments and terminations are processed though the membership accounting department
Acts as a liaison between brokers and/or groups with our internal departments
Pulls and sends various Reports
Prepares and responds to internal and external
correspondence for Sales and Services team in a timely and professional manner
Works efficiently in required systems
Prepares benefit packets and group administrative kits
HIPAA compliant
SALES ASSISTANT II
(February 2022-December 2023)
Supports Sales and Service objectives by preparing accompanying materials for the Account Managers
Completes and submits appropriate Group Applications to Business Implementation in a timely manner
Acts as a liaison between callers and internal departments
Pulls and sends various Reports
Prepares and responds to internal and external
correspondence for Sales and Services team in a timely and professional manner
Works efficiently in required systems
Prepares Welcome/Enrollment packets and group
administrative kits
HIPAA Compliant
I am an outgoing employee with
20 plus years of Customer
Service experience. I am looking
to grow my current skill set.
C O N T A C T
*************@*****.***
Vancouver, WA
E D U C A T I O N
MT. HOOD COMMUNITY
COLLEGE
Associates of Science
06/2007
2 APPEAL COORDINATOR II
(April 2017-January 2022)
Research and respond to State Insurance Divisions and Better Business Bureau inquiries within the stipulated timeline and ensure appropriate documentation required for reporting.
Assist with gathering specific information for internal and external audits
Assist the Appeal Supervisor and Lead Appeal Coordinator with other tasks needed to meet the department standards.
Research and respond to member complaints and appeals.
Prepare written resolution letters for members, which include summarizing member’s complaint and appeal issues, take steps to resolve the issue and plan’s determination
in clear and grammatically correct language.
MEDICAL CUSTOMER SERVICE REPRESENTATIVE
(September 2014-March 2017)
Answering member and provider phone calls in a timely fashion with a professional manner.
Help members and providers to understand member benefits.
Take premium payments from members.
Research and review claims to send back to claims department for review if needed or explain in better detail to providers and members.
Work with other departments to assist providers and members.
Consistently meet Moda Health's quality standards through a series of monthly audits.
Follow HIPPA guidelines.
Defuse escalated calls.
Providence Health
REGISTRAR
(August 2013-August 2014)
Register and admit patients and inform patients of HIPAA guidelines
Gather patient demographic data and insurance information using Epic
Verify insurance of major insurance companies
Operate and direct calls from a multi-line phone system.
HIPAA Compliant
Fred Meyer
3 JEWELRY REPLENISHMENT SPECIALIST
(April 2009-March 2013)
Consistent accuracy and high level of detail required daily
Experience in replenishment, defectives, stock balance, inventory control
Receive Merchandise and charge vendor accounts
Provide exemplary customer service.
CASHIER/CUSTOMER SERVICE SPECIALIST
(August 2001-March 2008)
Provide exemplary customer service
Experience in handling money and point of sales system
Assisted customers in achieving a pleasant shopping experience
Coached new associates on merchandising and safety standards.
Heavy Metal Pizza and Brewing Co.
BARTENDER
(October 2022-June 2024)
Provide exemplary customer service
Explain drink and food menu options
De-escalate situations
Run food
clear and clean tables
Experience in handling money and point of sales system
Assisted customers in achieving a enjoyable experience Portland Pickles Baseball – Walker Stadium
BARTENDER
(June-August 2023 and June-August 2024)
Provide exemplary customer service in a fast-paced environment
Serve beer, wine, cider, and simple mixed drinks while providing recommendations
Stock products needed for the shift (food and beverages)
Load and unload heavy products for each shift
Communicate with large VIP groups to understand their wants and needs for the evening
Skills
Active Listening
Relationship Building
Good Work Ethic
Reliable & Trustworthy
Organizational Skills
Friendly, Positive, Outgoing
Personality
First Aid/CPR
Flexible Schedule
Conflict Resolution
Outstanding Customer Service
Microsoft Office/Computer skills
Cash Register Operation
Cash Handling and Management
Food Safety, Sanitation, and
Health Codes Compliance
Certifications
Mast- 2022
OLCC- 2022
Food Handlers (Oregon and
Washington- 2022
CPR 2007-2014