Program Specialist and Care Advocate Resume Title
Resume:
Nieshia Teasley
**********@*****.***
Objective: I am seeking employment with a company where I can use my talents and skills to grow and expand the company. I want to succeed in a stimulating and challenging environment, building the success of the company while I experience advancement opportunities. PROFESSIONAL EXPERIENCE
Lapcorp, Durham NC
Program Specialist, 2019-Dec. 2024
• Serve as the customer’s primary point of contact to facilitate operational reimbursement support
• Work with medical insurance companies to determine if patients are eligible for the program
• Handle calls, track communications, and raise issues based on established procedures
• Request products and track shipments with our partners distributors distributor
• Educate patients on their available products and options for insurance
• Complete assessments to see if patients are eligible for the patient assistance program
• Make referrals for patient assistance
Continuum, Cary, NC
Care Associate I, 2019- Jun. 2020
• Responsible for assisting members with their Medicare benefits, making sure they understand their plan.
• Advocate on the members' behalf
• Confirm the status of claims and reimbursement
• Sending claim to the appropriate department for review or rework
• Responsible for validating members before discussing members' accounts and adhering to HIPAA laws
2
• Reach out to providers to resolve issues for the member
• Document each call properly with sufficient information
• Utilize several different systems to confirm or gather information of the member
• Process payments
• Responsible for requesting informative documents to be mailed to members of US Cold Storage, Lumberton, NC
Inspector 2018– 2019
• Responsible for confirming the load product code is correct
• Inspect each load to ensure there is no product damage
• Reject any product that is exposed
• Take pictures and document while the product is being loaded on the truck
• Collect BOL's at the end of the workday and email to the corporate office
• Seal each truck properly before leaving the dock
• Use the temperature gauge to confirm the temperature is appropriate to ship goods. Volt Workforce Solutions, Raleigh
Sourcing Recruiter, 2016-2017
• Recruit for both technical and administrative positions nationally to fill contracts, both government/non-government contracts
• Utilize Bullhorn to search for potential candidates
• Recruit: Sr. and Jr. Network, Systems, Software, and Test Engineers, Software Developers, Data Analysts,
and other IT roles to fill contract/contract to hire positions throughout the U.S.
• Utilize multiple databases to search for qualified candidates
• Effectively identify and pre-qualify candidates by reviewing resumes and applications, helping to increase
retention
• Interview candidates; discussing job description, requirements, technical background, contract length, and
salary
• Summarize candidate’s employment, technical skills, certifications, clearances, and education for submittal
• Schedule and prepare candidates for interviews with the client's hiring manager
• Properly implement company policies and employment laws
• Provide a high level of customer service to all candidates and staff members
• Develop and maintain high-volume referrals and a strong global candidate pipeline
• Excel in deep web mining strategies such as Boolean searches, Volt Track, LinkedIn, and other sites
• Prioritize clients' requirements in a high-volume, time-sensitive environment to meet deadlines
• On-boarding process for new candidates, to include background, drug, and credit checks, referrals, and employment verifications
3
• Full-Life Cycle Recruitment (source, recruit, schedule interviews, onboard, extend offer letter, and dispositions).
• Utilize multiple databases to search for qualified candidates.
• Effectively identify and pre-qualify candidates by reviewing resumes and applications, helping to increase retention.
• Interview candidates; discussing job description, requirements, technical background, contract length, and salary.
• Summarize the candidate’s employment, technical skills, certifications, clearances, and education for submittal.
Achievement:
I was number one in sales for the year in only a sixth-month period. I had over 296 submittals in 2017
Hertz/Thrifty Car Rental, Morrisville, NC
Instant Return Rep 2014-2015
• Assist the customer with returning the rental property
• Inspect the car upon arrival and confirm and note the gas level
• Fill out the inspection form accurately
• Provide customers with exceptional customer service
• Assist the customer with exchanging vehicles
• Meet revenue quotes for commission payout weekly, News & Observer, Garner, NC
. Post Press 2013-2014
• Responsible for placing inserts for the newspaper properly on the assembly line so the inserts will go down the line properly without getting jammed or off-line
• Sort inserts, organized inserts, and throw defective inserts away so they do not slow down production
• Recycle items properly in the warehouse that cannot be used
• Pay close attention to the jam alarm that informs you that there is a machine jam
• Work efficiently so that the machine doesn’t jam, to slow production time
• Responsible for getting your light turned on on time so that the machine can continue to run
Alliance Behavioral Healthcare, Durham, NC
Credential Specialist 2012-2013
• Verify medical numbers for all practitioners who were requesting to provide a service for clients receiving Medicaid clients
4
• Perform background checks on any practitioner wanting to continue receiving Medicaid funding
• Note and flag any file that comes up with any concerns
• Answered questions and concerns of practitioners
• Verify SSN, MPN, NPI, and Tax ID numbers of all applicants using a state-mandated website
• Enter information in the database accurately and on time
• Create a checklist for each practitioner's file to keep track of items needed to complete the application
• Confirm that all information that is on the application is correct
• Confirm that all information on each practitioner's file is correct and updated
• Note anything of importance on the checklist so that it may be brought to the committee before being accepted into the network
• Verify with DMA/DHHS if the client is in good standing or not
• Responsible for keeping all information confidential EDUCATION
High School Diploma-Needham Broughton High School-02 UNIVERSITY of Phoenix - Bachelor of Science in Business - Currently References Upon Request
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