Customer Service Patient Care
Resume:
SAQUITA
DAVIS
BAILEY
********@*****.***
Marion, AR 72364
Detailed oriented and energetic customer service representative with over 25 years of experience. Committed to building strong relationships and ensuring positive outcomes and problem solving. PROFESSIONAL SUMMARY
Methodist Le Bonheur Healthcare - Referral representative 10/2021 - Current
Accredo Health Group - Patient Care Advocate
02/2020 - 02/2021
Planet Fitness - Front Desk Clerk (Part-time)
07/2017 - 05/2019
WORK HISTORY
Answer incoming calls, scheduling pts appointments, maintain accurate data and records for patients
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Assisting clinics and providers with medical files and processing of the referrals
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Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
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• Verify eligibility benefits
• Work together as a team to help support patients an families.
• Process insurance authorizations and any updates.
• Data entry of medical records and patient information
• Coordinate patient care
Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
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Assisted in training new hires and offered ongoing support to help them reach their full potential.
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Handle customer service inquiry from providers, members, pharmacist, internal and external clients related to benefits
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• Work to research and solve problems in a timely manner
• Assist patients in understanding the pharmacy benefits
• Assist patients with their Medicare and Medicaid benefits. Upheld confidentiality requirements and regulatory compliance guidelines.
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Developed strong relationships with local pharmacies to expedite prescription refills and prevent gaps in medication therapy.
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Enhanced patient satisfaction by addressing concerns and providing clear communication on treatment plans.
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• Coordinated referrals to specialists
Front Office (15 years)
Customer Service (25+ years)
Customer Support
Multi-line Phone Systems
Customer Relations
Patient Care
Data entry proficiency
Insurance Verification
Nursing
Medical Records
Medical Scheduling
Medical Billing
EMR Systems
Goal-oriented mindset
SKILLS
Baptist College of Health Sciences
Memphis, TN • 05/2020
Associate in Science (AS) in health
studies
EDUCATION
CPR/First Aid
CERTIFICATIONS
General Motors - Aftercare sales associate
03/2011 - 11/2016
Dept of Human Services - Eligibility Clerk
07/2009 - 03/2011
Sitel Corporation - Customer Service Representative 02/2006 - 05/2009
Juvenile Court - Court Clerk
01/2005 - 01/2006
• Greet customers, answer multi phone lines
• Give prospective customers tours of the gym
• Sign up new members
• Clean equipment
• File paperwork
• Cashier.
• Analyzing and developing new warehousing methods
• Identifying process and layout improvements
• Scheduling and expediting parts from suppliers to CCA facilities
• Resolving discrepancies between suppliers and receiving locations. Organized racks and shelves to maintain plant visual appeal and promote specific merchandise.
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Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
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• Prepared merchandise for sales floor by pricing or tagging. Analyze clients case files against accent database to determine the source of discrepancies
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Collaborated with multidisciplinary teams to address complex cases and determine appropriate eligibility outcomes.
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Handle the return mail for the entire office and inform case managers of out of state changes
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• Work system alerts for both offices and submitting claims
• Process abundance of alerts on a monthly basis
Conduct phone interviews for case managers to determine eligibility for food stamps, families first, TennCare
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• Assisted in disaster relief program
Notify case managers and supervisors if an error has occurred in clients case.
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• Assisted Medicare and Medicaid members with health inquiries Handled customer inquiries and suggestions courteously and professionally.
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Provided members with benefits, assisted providers with claim status, and reprocess claims
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• Answered multi phone lines
• Report appeals and providers for both members and providers Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
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• Answered constant flow of customer calls with minimal wait times.
• Call center environment.
Received, researched, and examined juvenile court family case history and legal records
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Answered multi phone lines looking up information to provide assistance to the public and juvenile personnel
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Circuit Court - Deputy Court Clerk
09/2001 - 12/2004
• Locate, pull, and file case history files
Maintained organized filing systems for easy retrieval of case files and supporting documentation. prepared mail copies of Juvenile court orders.
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• Provided assistance to attorneys and court personnel in courtroom Issued bills of cost to clients, and process attorney petitions of court hearings.
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Assisted the public with questions and concerns as well as worked with attorneys with wage assignments
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Assisted within child support department by answering multi phone lines filing paperwork and entering child support payments
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Cross-trained for cost departments, scanned divorce decrees, skipped traced orders
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Figured cost bills for garnishments and prepared mail for distribution.
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Authorized to work in the US for any employer
WORK AUTHORIZATION
PERSONAL INFORMATION
• Relocation: Anywhere
• Title: Customer Service Rep
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