Customer Service & Operations Coordinator Resume Title
Resume:
Shamyra Harp
Charlotte, NC *****
***************@*****.***
Proactive self-starter, able to handle a high volume of customers and provide superior customer service. Dynamic, dedicated professional with practical experience seeking opportunity in a fast- paced environment with growth potential that will foster individual development as well as assist the organization in reaching peak levels of productivity. Work Experience
Office Manager
Purarize Logistics-Charlotte, NC
November 2022 to Present
• Responsible for the daily operations of the office and the department.
• Communicating with Customer and Builders regarding their delivery and installation of appliances by making sure the homes and sites are ready.
• Organize the daily routes to ensure on time deliveries and track trucks daily.
• Manage supplies, equipment, bills and inventory.
• Schedule appointments for service on defective or damaged product.
• Answering incoming and making outgoing calls.
• Respond to and send emails daily.
• Review measurements of the designated space prior to installation to make sure all appliances are the right fit.
• Follow - up calls to the customer and builder to ensure the delivery & install went well.
• Schedule appointments for trucks needing routine service / maintenance.
• Implementing new ways to improve the delivery and install process. Enrollment Coordinator
Novant Healthcare-Charlotte, NC
January 2021 to October 2022
• Responsible for processing provider enrollment with third party insurance carriers.
• Responsible with enrollment onboarding for new groups and providers.
• Verifying and maintaining provider licensure.
• Ongoing maintenance of the provider database in credentialing software.
• Resolving credentialing and enrollment insurance denials and holds put in place by insurance companies.
• Updating and maintaining CAQH information for providers while using Epic database.
• Updating and maintaining NPPES, Identity and Maintenance Files and NC Medicaid.
• Preparing quality reports and ensuring compliance with company and quality regulations.
• Researched complex issues and preparing cases for review by demonstrating our problem-solving skills by identifying any discrepancies.
Resolution Specialist
Change Healthcare-Charlotte, NC
July 2017 to December 2020
• Responsible for obtaining insurance information from patients involved in motor vehicle, worker’s compensation, or general liability accidents while using EPIC database.
• Following up with Attorney’s, Patients, and hospitals regarding payments.
• Preparing Medical Records for Attorney’s and Hospitals for payments and paying attention to details prior to entering the information into the database.
• Following up on payments and posting payments in hospital system.
• Sending follow - up correspondence to patients, Attorney’s and hospitals.
• Training on how to identify gaps and weaknesses to better our everyday process. Strategizing on how to improve the quality of the company policies and procedures. Reimbursement Counselor
Lash Group-Charlotte, NC
August 2006 to May 2017
• Verification of Medical Benefits through Private Insurance, Medicare, and Medicaid.
• Re-verifying insurance coverage for patients to determine if a specific drug is covered.
• Updating the patient account with correct benefits, insurance, and provider information.
• Assisted with reviewing faxes and processed PSQA, missing information, and documents received and problem - solving.
• Trained seasonal BVS Specialist on team policies and procedures.
• Proficiently provided excellent Customer Service to effectively obtain insurance benefits by paying attention to details.
• Meeting and exceeding daily goals.
• Assist Patients with case status and schedule shipments for medication.
• Updated Patient cases with new information received from Doctor and Patient.
• Researched complex issues and preparing cases for review by demonstrating our problem-solving skills by identifying any discrepancies.
• Called insurance or pharmacy to determine if a Prior Authorization is on file or required for a specific drug or procedure.
• Preparing quality reports to ensure compliance with company and quality regulations. Education
College in Medical Assisting Program
Kaplan College - Charlotte, NC
June 2011 to June 2011
Skills
• PeopleSoft
• FMLA
• Employment & labor law
• HIPAA
• ICD-10
• Bookkeeping
• QuickBooks
• Accounting
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