Customer Service Inside Sales
Resume:
Kym Maddy
Las Vegas, NV *****
*********@*****.***
Professional Summary
** ***** ** ***** **** inside and outside,Healthcare in all different forms, Cold Calling, CallCenters, Customer Services,management and insurance both selling as well as verification, type 35 words a minute
Authorized to work in the US for any employer
Work Experience
Member Services and Provider Services, HPR and now Utilization Management Molina Healthcare-Las Vegas, NV
March 2022 to Present
Member Services-Answering phone calls and written questions, concerns, Critical Calls Death Reporting and complaints regarding membership. Providing information on membership fees, policies, processes, benefits, products, and services. Actively listening to members and identifying their needs. Provider Services - Take care of all of above but also look into Appeals, Corrective Claims, Standard Claims, CPT Coding,Grievances, Billing and more. Taking care of members Renewals of there insurance plans thru the State. I'am now in Utilization Management Department in which I conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. The Healthcare Services
(HCS) Department also performs Care Management for Members who will benefit from Care Management services. Participating Providers are required to interact with Molina’s HCS department electronically whenever possible. Prior Authorizations/Service Requests and status checks can be easily managed electronically using Molina’s Provider Web Portal. Managing Prior Authorizations/Service Requests electronically provides many benefits to Providers, as well as take care of the "Clerking"
Pre Auditing
MGM Corporate-Las Vegas, NV
October 2021 to January 2022
Took care of Auditing the MGM properties Table, Slots and Poker Jackpots Corcierge/ Front Desk Representative
MGM / Aria Resorts-Las Vegas, NV
June 2021 to October 2021
I'm in charge of making and changing reservations going out of my way to help the visitors with any and all of there needs . Help them with any questions they may have on obtaining information on shows, sporting events etc. Giving the best CUSTOMER SERVICE possible. CHAP Processor
Protiviti/ CC-Las Vegas, NV
March 2021 to June 2021
This was a Temp position being a Government Processor this is all I'm allowed to say Financial Assistance Agent
Barclay's Bank-Las Vegas, NV
July 2020 to March 2021
As a financial Assistance Agent for Barclay's Bank,I take care of all the Card Members Payments,Requests, Complaints and Issues or anything else that needs to be done to make working with Barclays a positive experience.
Cashier/Customer Service
Pavilions Market-Newport Coast, CA
December 2019 to April 2020
This is a Part Time position. I take care of the clients needs by checking there groceries as well as take care of there customer service needs.
Benefit Advisor/ HR
Conduent-Nashville, TN
February 2018 to May 2019
Take care of a wide variety of people with multiple different questions and issues that need to be resolved in a timely manner. Conduent is the world's leading enterprise for business process and Document Management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Conduent offers business process outsourcing, including data processing, Healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Conduent supplies for graphic communication and office printing environments of any size. Conduent serves clients in more than 160 countries Insurance Agent
Aflac Insurance Company-Murfreesboro, TN
November 2017 to February 2018
Selling of Group and individual Insurance Life, Health and Gap insurance Cashier /Trainer /Customer Service
Walmart-Gallatin, TN
November 2014 to October 2017
work in a very busy fast based setting acting as a cashier as well as training the new cashiers Medical Billing and Patient Services
Comprehensive Pain Specialists /Anesthesia Service Associates-Gallatin, TN November 2014 to October 2017
November, 2014-October 15,2017
Work in Medical Billing to assist with current project needs, workers compensation. Two years of medical billing experience, Worked with in a high volume setting. Extreme Attention to detail, worked in both AC and AR. Intermediate Medical Billing, Microsoft Excel, ECW. New Patient Scheduling, following up on insurance verification,questions and issues.
Medical Billing Specialist
Insurance Sales Agent/ Pt Trainer
Lighthouse Insurance Group-Irvine, CA
February 2013 to September 2016
Irvine Ca
November, 2012-September, 2014
Opening of new accounts and maintaining existing base of customers and "up-selling". Trained Agents on different programs. Always in the top four in sales out of 100 agents. Insurance Sales Agent
CSR Inside / Medical Billing Specialist
Xtend Healthcare-Hendersonville, TN
February 2015 to October 2015
-Hendersonville TN
April, 2015- October 2015 ( Temp Position)
Maintain and handle all patients in 16 different locations. Handle all Hospital Billing and issues for the patient. Help resolve any issues they are having with Payments, Insurance verification, Billing, Complaints and any other questions they may have
CSR Inside and Outside Representative / Medical Billing Specialist Trainer / Insurance Agent
Allstate Insurance Group-Nashville, TN
February 2013 to January 2015
Nashville TN
February 2013-January, 2015
what to expect in the appointment, and how to answer any questions. Set appointment for the outside agent in the beginning to go and complete the sale. Train agents in six locations on the inside sales side to Pre-qualify clients in the different programs that might fit there needs. Explain the process of, and how and what to say to clients. Take care of obtaining my own business. Inside Insurance Sales / Trainer
Outside Sales Manager
Carepoint Diamedix-Richmond, VA
January 2011 to February 2013
Started up and built Los Angeles territory. Worked with Medicare diabetic patients, and helped them with all their diabetic needs.
L.A. Territory Outside Sales Manager
Inside Sales Manager / Trainer
Atlas Medical Inc-Inglewood, CA
October 2009 to December 2011
Inglewood, Ca
November 2007 to November 2009
Hired, Managed and trained the sales staff. Maintained my own base of over 400 "Key Account" clients and worked to increase business. Took care of all state contracts. Inside Sales Manager / Trainer
Business Office Manager
Moi, Inc-Hollywood, CA
December 2006 to September 2009
Over-seeing personal and maintained office management Office Management
M.A. and X-Ray Tech
Dr. Peiman Berdjis-Beverly Hills, CA
October 2004 to December 2006
Worked as a X-ray Tech in Chest and Extremities. Also took care of the front and back Office also Took care of the Medical Assisting
X-Ray Tech/ Medical Assistant / Front Office
Office Manager
Silvany Group-Los Angeles, CA
March 2002 to September 2004
Over-seeing personal and maintained office management Office Management
New Business Specialist /Inside Sales/Sales and Marketing Regal Advisory Company-Woodland Hills, CA
April 1999 to February 2002
Woodland Hills, Ca
Marketing work for this financial planning firm. Assisted In bringing in clients, conducting seminars, and took care of other sales
New Business Specialist /Inside Sales/Sales and Marketing New Business Specialist ( outside)
TSI, Inc-Woodland Hills, CA
February 1998 to March 1999
Debt collector
New Business Specialist / Inside and Outside Sales World Com-Culver City, CA
January 1995 to January 1998
Culver City, Ca
January 1995 to January 1998
Acquired new sales of telecommunication services
New Business Specialist / Inside and Outside Sales Inside and Outside Sales Associate
Network Communication-Orange County, Ca
December 1992 to January 1995
Orange County, Ca
February 1992 to January 1995
Sold investments and financial service opportunities for private clients Inside and Outside Sales Associate
Inside Sales Manager
Sterling Medical-Orange County, Ca
January 1986 to December 1992
Orange County, Ca
January 1986 to December 1992
Hired, Trained and managed a team of 12 reps as well as maintained my own base of over 400 clients Inside Sales Manager
Education
Associate in Medical Assistant / Xray Tech
Nova Institute - Los Angeles, CA
June 2001 to June 2003
Skills
• Sales Experience (10+ years)
• Business Development (6 years)
• Upselling (10+ years)
• Sales (10+ years)
• English (10+ years)
• CRM Software (10+ years)
• B2B Sales (10+ years)
• Relationship Management (10+ years)
• Customer service (10+ years)
• Customer Relationship Management (10+ years)
• Management (10+ years)
• Negotiation (6 years)
• Outside Sales (10+ years)
• Cold Calling (10+ years)
• Human Resources (3 years)
• Sales Management (10+ years)
• Inside Sales (10+ years)
• Medical Billing (4 years)
• Pricing (10+ years)
• Insurance Sales (6 years)
• Telemarketing (10+ years)
• Supervising experience (10+ years)
• Salesforce (8 years)
• Medical Scheduling (10+ years)
• Telecommunication (10+ years)
• Insurance Verification (4 years)
• Office Management (10+ years)
Certifications and Licenses
Driver's License
February 2018 to February 2026
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