Part-Time Customer Service
Resume:
Deborah Morishima
Radcliff, Kentucky, 40160
*************@*****.***
WORK EXPERIENCE
AMAZON.com, Shepardsville, Kentucky
Return Processor – Part-Time, December 2021 – August 2024
As a Return Processor I inspected and processed customer returns. All information on the products were entered into the Amazon Computer System. Each product was repackaged for resale, return to manufacturer, problem solving or designated for donation.
HARDIN COUNTY SCHOOLS, Elizabethtown, Kentucky
Instructional Assistant – Part-time, September 2018 – March 2020
As an Instructional Assistant I assisted a certificated teacher by performing a variety of support functions in a regular classroom setting. I tutored individuals or small groups of students, reinforcing and implementing instruction as directed by the teacher; maintain records of student progress. Assist in administering diagnostic and other tests; score and record test information. Monitored and reported behavior of students according to approved procedures; report progress regarding student performance and behavior.
HAWAII FAMILY HEALTH, Honolulu, Hawaii
Account Management Director, Nov 2013 – May 2016
As the Account Management Director I was responsible in working with a team of professionals who provided customer service for all Employer Groups who were contracted with Family Health Hawaii. In my position I oversaw the Account Management Department who provided complete set up of new Employer Groups from 50 to 1,000+ employees. Setting up and conducting implementation meetings, on-line and paper enrollment of all members into the medical plan. Information provided on all benefits to contracted Employer Groups for a clear understanding of benefits received. Review of the Provider Network and information on accessing physicians for services. Working with Upper Management of the Employer Groups (CEO, CFO, Human Resources Director) to insure smooth transition to working the Family Health Insurance Plan. I also worked closely with the vendors who provided Pharmacy Benefits, Vision Benefits and Dental Benefits. Account Management also handled all escalated customer service issues which required immediate attention for a quick resolution. I also oversaw the Billing Department who sent out the monthly premium invoices to each Employer account. Any issues with Billing that were escalated would be referred to me for resolution. Other areas of responsibility in this position were running a quarterly reporting package for all large clients with 150 or more employees and set up a quarterly review meeting with each group as well as working with a third party administrator of COBRA benefits for Family Health Members. As the Account Management Director I was responsible for attending all company meetings and was responsible for writing Policies and Procedures for Family Health Hawaii. Our top priority was always superb customer service for all contracted employer groups and members of Family Health Hawaii.
MULTIPLAN, Honolulu, Hawaii
Provider Relations Manager, Apr 2010 – Oct 2013
In this position I started as a Provider Relations Manager with responsibility for developing and sustaining relations with key providers in the community as well as building strong relationships with all providers. Our Department was responsible for building and maintaining a provider network of over 4.200 providers throughout the State of Hawaii to service our Health Plan Members. This includes overseeing the credentialing and contracting with all providers who are participating in our network. We also work with our National Networks (MultiPlan) as needed for services for our Health Plan Members. As the Manager for a new web based Provider Portal we successfully implemented this program. The Provider Portal gives our providers access to information regarding claims, eligibility, prior authorizations along with many other features to assist in their daily activities and save them time by viewing information on-line. The last two years of my position with MultiPlan, my primary function was to focus on contracting with Providers throughout the United States to be a part of the MultiPlan Network. I received extensive training on contracting through my various training sessions at the MultiPlan Corporate Office. The secondary responsibility was to work with the HMN Network here in Hawaii.
HMA/SUMMERLIN, Honolulu, Hawaii
Senior Account Manager, May 2005 – Mar 2010
I was an Account Manager for the Summerlin Commercial Medical Insurance Account. I personally oversaw large accounts with 75 or more members. My responsibility as an Account Manager was to service and retain these groups as Summerlin Clients. Through my position, I handled issues regarding billing, claims, benefits, health fairs, enrollment issues. I also worked closely with the company executives (i.e. President, HR Director, CFO, etc.) to ensure everything ran smoothly with our Summerlin Accounts. I provided a quarterly reporting package to these companies to show them current claims experience and point out any significant areas in which we could help them education their employees. In my position I also managed 2 Summerlin Account Managers, 2 Account Management Coordinators, Administrative Assistant and Enrollment Department. I reported directly to the General Manager/VP of Operations for HMA/Summerlin.
HMA. INC., Honolulu, Hawaii
Customer Service Representative, Oct 2003 – Apr 2005
Primary responsibilities included fielding phone calls from members, providers, and other insurance companies. Provide concise information regarding claims and claims payments, verifying enrollment and eligibility accurately; and quoting benefits accurately to member enrolled in eight different Plan documents of our HMA Clients. Responsible to train new employees entering the position of client services representative. Set up training schedule; monitor progress and provide hands-on-training for all aspect of the position of client services representative.
HAWAII MEDICAL VITRIFICATION, Honolulu, Hawaii
Sales and Service Manager, Jan 1999 – Sep 2003
Responsible for generating new revenue for my employer through setting up new accounts and service existing customers. Negotiate and implement contracts with medical facilities as as hospitals, medical clinics and physician offices. Developed new client package to systematically service and enhance working relationship with clients. Represented my company at conferences and meetings. Supervise activities of the Administrative Assistant in HMV administration. Worked closely with the Board of Directors and key investors of the company.
EDUCATION
University of Hawaii, Honolulu, Hawaii
Completed coursework towards Public Relations
ADDITIONAL SKILLS
Certified Law of Attraction Coach
Certified Medical Assistant
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