Quality Assurance Customer Service

Tamika Howard

*************@*****.*** 651-***-**** Apple Valley, MN

SUMMARY

Experienced professional with 4 years in diverse roles, seeking a position as Various. Demonstrated expertise in data management, quality assurance, and customer service across healthcare and insurance sectors. Proficient in Microsoft Office and web publishing, with a strong background in administrative support and communication. WORK EXPERIENCE

Minnesota Dept. of Health, Managed Care Systems

Office and Administrative Specialist Sep 2023 - Present

• Administer the essential community providers (ECP) program, reviewing and organizing both paper and electronic files in accordance with retention schedules.

• Assist in the annual review of submissions from HMOs, ensuring compliance with state and federal regulations, and update quality assurance examination processes, including maintaining the penalties database.

• Manage logistical tasks such as processing physical mail, monitoring shared email inboxes, scheduling meetings, and conducting data entry into electronic systems.

UCare Minnesota

Member Service Associate Apr 2022 - Jul 2022

• Responded to and resolved inquiries from members, providers, and external agencies, ensuring timely and professional service.

• Communicated effectively with internal departments and external stakeholders through verbal, written, and fax formats.

• Maintained comprehensive knowledge of information management systems and ACD telephone systems. Optum/United Health Group

Researcher Oct 2021 - Feb 2022

• Conducted research and systematically entered data into Salesforce, ensuring accuracy and completeness for organizational databases.

• Managed and utilized various web-based platforms and software to support comprehensive data collection and analysis efforts.

Data Validation Analyst Feb 2021 - Jun 2021

• Validated address and contact information through effective communication with healthcare provider offices.

• Implemented quality assurance processes to efficiently deploy patient assessment orders.

• Utilized skills in data entry, encryption, data validation, and customer service to ensure accuracy and security. Data Validation Analyst Apr 2019 - May 2019

• Collaborated with healthcare provider offices to ensure accuracy of address and contact information through effective communication.

• Utilized quality assurance procedures to successfully deploy patient assessment orders, employing skills in data entry, encryption, and data validation.

UCare Minnesota

Provider Relations and Contracting Associate Jan 2019 - Mar 2019

• Managed incoming calls to assist providers, members, and insurance agents with billing and policy inquiries, ensuring comprehensive support for benefit and health insurance queries.

• Delivered exceptional customer service by greeting clients with a friendly demeanor and providing attentive and empathetic assistance.

BlueCross BlueShield MN

Provider Information Data Operations Associate Aug 2017 - Oct 2018

• Demonstrated professionalism and respect in customer interactions, effectively managing complaints and ensuring a high level of service satisfaction.

• Facilitated repeat business by fostering positive relationships with members through exceptional service delivery. Customer Service Representative Jun 2017 - Aug 2017

• Addressed inquiries from customers, members, and agents, ensuring high-quality service and effective communication.

• Fostered strong relationships by demonstrating sensitivity to customer needs and maintaining a consistent work ethic.

EDUCATION

Rasmussen College

Certificate, Medical Assistant

Eagan, MN

Everest Institute

Diploma, Medical Administrative Assistant

Eagan, MN

Farmington Senior High School

High School Diploma

Farmington, MN

SKILLS

Proficient in Microsoft Office • Proficient in Website Publishing and Web Page Organizing

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