Customer Care Representative - TTEC - Warren, MI
(2024-10)
- Deliver responsive, compassionate assistance to individuals impacted by federally declared disasters.
- Process applications, verify documentation, and guide applicants through FEMA relief options.
- Utilize systems such as Salesforce CRM, NICE inContact, and internal FEMA case management tools to document interactions.
- Maintain confidentiality and accuracy while handling sensitive data in compliance with federal regulations
Medical Claims Processor - Sutherland - Warren, MI
(2023-12)
Reviewed and processed a high volume of medical insurance claims, ensuring compliance with policy terms, regulations, and payer guidelines.
- Verified the accuracy of claim submissions, cross-referencing patient records, medical codes (ICD-10, CPT), and healthcare provider details to identify discrepancies or errors.
- Determined payment amounts based on the terms of the insurance policy and medical necessity, issuing approval or denial accordingly.
- Collaborated with healthcare providers, patients, and insurance brokers to resolve issues and clarify missing or incorrect information.
- Provided excellent customer service to patients, providers, and internal teams by addressing inquiries and explaining claim decisions.
- Maintained a thorough understanding of industry trends, medical terminology, insurance policies, and billing practices to ensure accurate claim assessments.
Patient Service Representative - Senture - Remote
(2023-04 - 2023-12)
- Provided exceptional customer service through inbound/outbound calls in a fast-paced contact center environment.
- Verified member's eligibility, benefits, and obtained prior authorizations, pre-determinations, and referrals for providers.
- Collaborated with clinicians and care management teams to address benefit-related inquiries and medical records.
- Effectively communicated with supervisors and team leaders to ensure seamless service delivery.
CSR - Customer Service Representative - TTEC - Remote
(2022-04 - 2023-04)
- Managed booking and RSVP for healthcare insurance seminars, as well as enrolling clients into health insurance plans.
- Conducted multitasking across various programs, handled paper and e-kits, and facilitated member transfers for assistance.
Home Care Aide - Acumen Capital Associates Inc - Warren, MI
(2021-10 - 2022-04)
Provided compassionate care, assisting with daily tasks, meal preparation, and maintaining accurate patient documentation. Maintained a safe, secure, and healthy patient environment by following asepsis standards and procedures.
Home Care Aide - BELLA HOME CARE - Sterling Heights, MI
(2018-01 - 2021-10)
Assisted patients with housekeeping, laundry services, and personal hygiene tasks.
Quality Control Inspector - Action Associates - Brighton, MI
(2016-08 - 2017-02)
- Worked with manufacturing professionals during the production process, often approving the quality of raw materials before manufacturing begins. When production was completed, I was responsible for a final in-depth inspection, before signing off and approving the product.
Quality Control Inspector - Brose - Warren, MI
(2014-06 - 2016-07)
- Performed mechanical, physical, and visual inspections, reporting feedback to enhance product quality.
Quality Control Inspector - MATRIX QUALITY SERVICES - Warren, MI
(2013-12 - 2014-05)
Conducted inspections on raw materials and finished products, ensuring adherence to specifications.
Receptionist - CAMPAU CHIROPRACTIC CLINIC - Hamtramck, MI
(2011-01 - 2013-12)
- Managed appointments, answered calls, and provided administrative support.
