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Account Manager

Location:
Portland, OR
Posted:
March 11, 2025

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Resume:

* * * * * 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

*************@*****.***

971-***-****

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



Contact this candidate