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Executive Profile

Highly accomplished Sales executive who brings several years of experience in process, technology and service solutions to Health Systems in the Western United States is looking for a new long term remote position with an aggressive company looking to secure valuable client relationships

Skill Highlights
  • New Client Development
  • Consultative Sales
  • Territory Traction and Design
  • Heavy Involvement with HFMA -West Coast
  • Relationship Growth and Development
  • Sales\Revenue Growth
  • OKR - Objections and Key Results 
  • Ethical
  • Value Selling
  • Relationship Management
  • Client Satisfaction and Maintenance
Core Accomplishments

  Territory highlights:

  • RevSolve's SalesForce Leader from 2008-2015
  • Generating 3.8m in net fees annually
  • Client Satisfaction 98.8%
   Associations: 
Arizona Healthcare Financial Management Association:
  • 2018-2019 Chapter Secretary
  • 2017-2018 Program Chair
  • 2012-2017 Sponsorship Chair
New Mexico Healthcare Financial Management Association:
  • Sponsorship Chair/Board member from 2011-2013

Arizona AAHAM Cactus Wren:

  • Sponsorship Director and Board member from 2007-2011
Professional Experience
West Zone Director of Sales - Pacific Northwest Dec 2017 to Current
nThrive Alpharetta, GA
  • Proven success selling Technology, Services, Education and Advisory to health systems and hospitals in Montana, Oregon, Idaho and Washington
  • Pipeline development and maintenance with path to close
  • Value Selling mentality
  • Education on all nThrive products and services that span the entire revenue cycle.  Front, middle and back.
  • Experience working with CFO, V.P. of Revenue Cycle and Revenue Cycle Directors
  • High pace team atmosphere 
  • Required travel is 80% of the time 
Sales Consultant Jul 2017 to Nov 2017
eCatalyst Healthcare Solutions Phoenix, Az
Tasked with starting a sales department for a small CDI improvement business. 
  • Conducted interviews for new commercial sales leaders
  • Coached new colleagues on sales methodology  
  • Implemented Saleforce CRM for lead management with quarterly Definitive healthcare updates for leads and financial detail 
  • Retained a firm to design all marketing material and displays for trade shows
National Client Development Director Jun 2007 to May 2017
RevSolve, Inc Scottsdale, Arizona
  • Selling Extended Business Office - Self Pay Outsourcing, Insurance Resolution and Bad Debt services to large Healthcare networks and Regional Hospitals
  • Implementation expert 
  • Attending, exhibiting and preparing for all Healthcare trade associations
  • Accountable for documenting all client concerns and maintaining satisfaction ratings
  • All daily activity updated in SalesFore CRM
  • Historical increases of 87% over the last 24 months
Collections Manager Jan 2002 to May 2007
RevSolve, Inc Scottsdale, Arizona
  • Managed all daily call volumes
  • Managed 45 Bad Debt call center employees
  • Handled all credit bureau disputes thru E-Oscar
  • Wrote Healthcare Bad Debt Procedures for new hires, training, FDCPA, FCRA and HIPAA
  • Implemented Touchstar call center technology
Manager, Insurance Follow-up and 3rd party Liability Nov 1999 to Jan 2002
RevSolve, Inc Scottsdale, Arizona
  • Created the first "specialized" unit for Insurance Follow-up at RevSolve
  • Designed work pools for each individual insurance company
  • Designed unique collector compensation for uncovering potential patient eligibility that was never given to the provider on date of service
  • Worked closely with clients on billing backlogs with certain payers
Healthcare Recovery Specialist Oct 1997 to Nov 1999
RevSolve, Inc Scottsdale, Arizona
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Professional Summary
Human service professional possessing in-depth knowledge of principles, methods and procedures for diagnosis and treatment.Mental health professional driven to help others overcome personal obstacles. Comfortable working autonomously or in a team-based setting. Team-oriented  with strong track record of establishing solid relationships with clients, co-workers, administration and local agencies.  Responsible self-starter who communicates well and is dedicated to improving the well-being of clients.
Skill Highlights
  • Outreach programming specialist
  • Exceptional problem solver
  • Community resources specialist
  • Community resources specialist
  • Knowledge of the ins and outs of Child Protective Services (CPS)
  • Superior communication skills
  • Medicaid familiarity
Accomplishments
Effectively managed caseloads of more than 8 clients at any given time.
Professional Experience
Mental Health Clerk 10/2012 to 08/2015 Department of Veterans affairs Carrollton, GA Charted and recorded information in client files. Quickly responded to crisis situations when severe mental health and behavioral issues arose. Conducted outreach, advocacy and rehabilitative services for veterans and crisis intervention.
Education and Training
Bachelor of Science: Human Services Shorter Unversity Rome, GA, USA Coursework in Psychology, Social Human Services coursework Law and Ethics for Psychologists course Addictions and Chemical Dependency , Marriage and Family Therapy and Child Development Work and Counseling 
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Professional Profile

Energetic and enthusiastic insurance professional motivated to succeed in a fast-paced and deadline-driven professional environment.

Core Skills & Training
  • Customer service, problem solving and decision making
  • Planning, prioritizing and organizing
  • Understanding coverage and liability
  • Effective communicating verbally and in writing
  • Xactimate and XactContents
  • NFIP Flood Insurance Training Completed
  • Property & Casualty Adjuster Licensed in CT, DE, FL, GA, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY
Professional Experience
Field Property Claims Representative Oct 2019 to Current
Farmers Insurance and Foremost Insurance Group Atlanta, GA
  • Investigated properties, classified damages and created estimates outlining repair costs.
  • Gathered and documented evidence to support quality claim outcomes.
  • Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records.
  • Recognized by management for providing exceptional customer service.
  • Improved operations by working with team members and customers to find workable solutions.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
Claims Associate Oct 2018 to Oct 2019
State Farm Insurance Companies Atlanta, Georgia
  • Protected company reputation and built loyal client base by working relentlessly to resolve problems and improve customer satisfaction
  • Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control
  • Proactively identified and solved complex problems impacting operations management and business direction
  • Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival
  • Provided onsite training for new, less experienced associates
  • Pursued continuing education and training programs to continue professional development
Independent Adjuster Dec 2017 to Oct 2018
Worley Claims Services, LLC Atlanta, GA
  • Complied with company and insurance client's guidelines in claims processes, estimate writing and the closing of claims
  • Obtained relevant evidence and information regarding suspicious claims
  • Completed required investigations on referred files in timely manner
Insurance & Financial Sales Representative Mar 2015 to Jul 2017
State Farm, Lisa J. Dobbs Agency, Inc. Atlanta, GA
  • Provided prompt, accurate, and friendly customer service pertaining to purchasing new coverage across multiple lines of business, responding to inquiries regarding claim information, insurance availability, eligibility, policy changes, transfers and billing clarification
  • Cultivated professional relations to establish long-term profitable partnerships
  • Inputted information from customer calls and onsite service visits into the company's system
  • Increased sales by 40% over a two-year period
Education
Bachelor of Arts, Political Science 2014 Clark Atlanta University Atlanta, GA
  • Coursework in Political Theory, Microeconomics, International Relations, Constitutional Law
  • Recipient of Institutional Undergraduate Studies Scholarship University
  • Dean's List Honoree, January 2011 - May 2012
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Summary

Producing Financial Service Manager with  20 years of experience, leading teams to provide excellent customer service. Ensuring quality control with all state and company regulations. Strong sales, investigative, problem solving and decision making skills. Action-oriented with strong ability to communicate effectively with all levels of leadership and the general public both verbally and writing.

Experience
Firefighter / Active Member 03/2014 Current Ronkonkoma Fire Department Ronkonkoma, Ny
  • Perform firefighting duties such as combating, extinguishing and preventing fires, answering emergency calls with an engine, ladder, ambulance or miscellaneous vehicles.
  • Rescuing victims from cars or buildings, using various tools, equipment and techniques.
  • Administer first aid to injured persons, perform salvage operations, and inspect assigned district to assure knowledge of access, fire hazards, etc.
  • Handle routine custodial maintenance of the Fire Department and equipment (such as oxygen breathing equipment, resuscitation equipment, etc.) apparatus and quarters.
  • Conform to the all safety requirements of the Fire Department.
Branch Manager 06/2012 04/2018 NEFCU Commack, NY
  • Responsible for the overall management and successful performance of the branch office.
  • Executed the loan origination process, including sale, ordering credit reports, appraisals, preliminary title reports, UCC searches, environmental reports, insurance information and flood certificates.
  • Adhered to controls and security measures to safeguard assets and confidential member information.
  • Provided outstanding member service and reinforce positive attitude with staff.
  • Worked with multiple internal departments to streamline processes and resolve issues. 
  • Ensured branch general ledgers were in proof on a daily basis and all audits were completed timely.
  • Consistently achieved or exceeded yearly goals in sales, member service and operations.
  • Accurately completes all reports and maintains all records according to company standards.
Financial Center Manager 12/2005 05/2012 Citibank N.A North Plainfield, NJ, & Hauppauge, NY
  • Provide exceptional client service and ensure effective lobby and line management.
  • Drive outbound sales activities: representing Citi and building partnerships in the community.
  • Ensure the safety and security of client and bank assets by adhering to operational & legal controls.
  • Lead a diverse Financial Center team to achieve desired revenue, service and business goals.
  • Arrange micro-marketing events, promotional campaigns, product initiatives, seminars, etc.
  • Identify cross-sell opportunities in both local & niche markets to increase client acquisition.
  • Establish and maintain key relationships and business contacts within the community and targeted industry segments to create opportunities for growth.
Relationship Manager, Insurance Specialist and Financial Analyst 07/1999 12/2005 Citibank New York, New Jersey
  • Expanded the reach of area Financial Centers via outbound sales.
  • Designed and implemented a twelve month sales plan.
  • Ensured that effective and purposeful Financial Education Seminars were conducted at the client company worksites.
  • Partnered with managers, & business partners from all areas of the bank to ensure overall business objectives were achieved.
  • Trained and coaching of field agents in insurance sales, compliance and problem resolution.
  • Managed all applications submitted from start to policy delivery.
  • Acted as liaison to effectively communicate between clients, agents and vendors.
  • Performed Manage Self-Assessment reports weekly.  
  • Adhered to the rules and compliance standards of the banking, financial and insurance industries.
Agent and Pruco Securities Representative 07/1998 06/1999 Prudential Insurance Howard Beach, NY
  • Interviewed an average of 200 prospective insurance applicants per month to uncover financial needs.
  • Solicited new business from new and existing clients increasing office sales leads by 15%.  
  • Built client relationships and obtained new client referrals.
  • Obtained Series 6, Series 63, Life, Health, Accident, Property and Casualty Licenses.
  • Sold and maintained policies that protect individuals and businesses from financial loss.
  • Prepared and managed reports and records of insurance policies.
  • Earned Prudential's Go-Getters Award for most life policies sold.
Senior Case Manager / Auto Appraiser 05/1994 06/1998 Liberty Mutual Insurance Co Long Island, NY
  • Handled commercial & personal lines claims in all areas of bodily injury, property, no fault, general liability, and subrogation.
  • Conducted face-to-face and phone interviews with persons involved in a claim such as the insured, claimant, or witness. 
  • Investigate and reviewed records from police agencies, courthouses, educational institutions, financial institutions, and medical/mental facilities.
  • Selected and obtained coverage, set reserve limits, negotiated and mediated claims in order to reach a settlement with attorneys, policy holders or claimants.
  • Prepared itemized appraisals and reported unrelated prior damage.
  • Provided quality customer service; scheduled appointments and routed daily appointments.
  • Negotiated and settled claims in accordance with business policy.
  • Recognized by Distract Manager for investigating, uncovering and providing evidence of fraudulent auto body shop activities saving the company over 200 thousand dollars
Education
1994 Associate of Applied Science: Kingsborough Community College - Accounting Brooklyn, NY
College of Insurance & College of Staten Island NY Coursework in Insurance Business
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Summary

Self-directed Public Health Preparedness Specialist and innovative thinker with a knack for developing creative solutions to complex problems. Seeking a position with the opportunity for new challenges and professional development and advancement.

Skills
  • Experienced with eClinical Works and Allscripts EMR system
  • Proficient in Malayalam and American Sign Language
  • ICS 100, 200, 300, 400, 700, 800
  • Knowledgeable with SPSS and SAS statistical programming
  • Proficient in ArcMap GIS software
Education
Master of Public Health: Public Health Practice Wayne State University - Detroit, MI
  • 3.47 GPA
  • Coursework in SAS, SPSS, and ArcMap
Bachelor of Science: Speech, Language, and Hearing Sciences Purdue University - West Lafayette, IN
  • Minor in Psychology
  • Coursework in American Sign Language
Work History
American Sign Language Instructor Schoolcraft College Continuing Education - Livonia, MI 09/2019 - Current
  • Selected and revised course curricula to meet current instructional demands
  • Adapted teaching strategies to learning styles of students with different skill levels
  • Compiled multidimensional cultural and educational resources for students to expand knowledge of key topics beyond classroom limitations
Public Health Preparedness Specialist Macomb County Health Department - Mount Clemens, MI 04/2018 - Current
  • During the Covid-19 global pandemic, ran the Macomb County Drive-Through test site, conducted testing at congregate living facilities as well as conducted contact tracing for positive patients.
  • Use GIS data to map out cases of various health outcomes in the county and use results to implement new solutions to reduce the health outcomes.
  • Build Closed Points of Dispensing within the county, and run drills/ exercises with PODs as well as the Node Emergency Activation Team
Quality Improvement Intern Wayne County Healthy Communities - Hamtramck, MI 01/2018 - 04/2018
  • Observe dynamic between clinic staff from registering patients to patient's discharge to develop and present improvement ideas to make the clinic work efficiently with maximum patient care
  • Obtain prenatal data from the UDS reports through the Electronic Medical Record system
Medical Receptionist Healthy Urgent Care - West Bloomfield 06/2017 - 11/2017
  • Maintained established policies and procedures, as well as scheduled patients and appointments in person and over the phone.
  • Collected co-pays and patient balances, verified insurance through phone calls and online sources, as well as proficient with EMR. 
Direct Line Therapist Building Bridges Therapy Center - Plymouth, MI 10/2016 - 04/2017
  • Provided ABA therapy to children on the Autism Spectrum
  • Collected data about target acquisition and maintenance for each child during ABA session
Teacher's Assistant Michigan Montessori Children's Academy - Shelby Township, MI 06/2014 - 08/2016
  • Organized and executed learning modules for children to help them develop skills need to exceed in their education
  • Provided one-on-one attention when needed to ensure each child obtained help on academic material 
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Professional Summary

Highly trained Medical Records and Insurance Verification Specialist with a background in verifying insurance benefits and creating appropriate patient documentation. Detail-oriented adept at coordinating digital and physical records for medical purposes. Highly organized and hardworking with a clear focus on maintaining efficient and accurate operations.

Skills
  • Exceptional communication skills
  • MS Windows proficient
  • Records request handling
  • Deadline driven
  • Multi-line phone talent
  • Medical bill auditing
  • Prior authorization processing
  • Verifying insurance coverage
  • Insurance coverage verification
  • Insurance expert
  • Medical records management
  • Processing of subpoenas
  • Charting and clinical documentation
  • Medical office administration
Work History
September 2013-Current Insurance Verification Specialist | Redefine Healthcare | Edison, NJ
  • Effectively research and resolve prescription processing rejections to ensure patients receive medications within established patients standards.
  • Initiate the pre-authorizations/pre-determinations for insurance to get verified and processed correctly.
  • Adhere to the Tenet HIPPA Compliance Plan and the Privacy Standard Confidentiality Agreement.tions.
  • Determine patient portions due, amounts to be billed, contractual discounts to be taken, or any other authorized discounts that may apply. Communicate this information with appropriate personnel for preparation of the pre-admission process.
  • Identify all patient accounts accurately based on what PPO,HMO, or other Managed Care Organization the patients plan might fall under.
  • Contact patients and provide updates on benefit verification information, requested additional information, insurance cards, responsibility such as copays, co- insurance, co-deductibles, at the time of service.
May 2010-August 2013 Medical Records Specialist | Redefine Healthcare | Edison, NJ
  • Planned developed, maintained and operated a variety of health record indexes , storage and retrieval systems to collect, classify, store and analyze information.
  • Computer entry of demographics, history and extent of disease, diagnostic procedures and treatments.
  • Assisted patients and other sources over the phone and via email, on getting medical records upon requests.
  • Released information to individuals, agencies in compliance with appropriate regulations and retrieval systems to collect, classify, store and analyze information.
  • Processed requests for Release of Information, Subpoena for Court Hearings and Trials and provided non confidential information to outside requesters.
November 2007-April 2010 Logistics Supervisor | Prestige Window Fashions | Edison, NJ
  • Eliminated downtime and optimized workflow of trailers by working collaboratively with the Transportation Department.
  • Decreased the amount of misloaded product on trailers by establishing and implementing procedures to ensure proper loading of trailers.
  • Cost-effectively saved more than 20% in labor expenses and eliminated overtime by increasing personnel with two part-time employees.
  • Significantly reduced damages and product waste by organizing all storage areas. 
  • Served as a significant contributor in implementing the pre-staging area for trailer loading cutting load times by 75%.
  • Negotiated and supported logistics costs meant for third party logistics providers assisting yearly budget goals.
  • Developed and initiated monthly reports having required project timelines, corporate metrics and productivity measurements.
September 2005-October 2007 Customer Service Representative | Prestige Window Fashions | Edison, NJ
  • Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.
  • Developed reputation as an efficient service provider with high levels of accuracy.
  • Handled daily heavy flow of paperwork and cooperated with the accounting departments on invoicing and shipping problems.
  • Communicated with vendors regarding back order availability, future inventory and special orders.
  • Scheduled weekly inventory pickups and deliveries with vendors.
  • Investigated and resolved customer inquiries and complaints in a timely and empathetic manner.
  • Contacted customer to follow up on purchases, suggest new merchandise and inform them about promotions and upcoming events.
Education
2005 High School Diploma Perth Amboy High School, Perth Amboy, NJ
Languages
  • Fluent in Spanish (read, write, speak)
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Professional Background

Experienced health aid licensed in HHA (Home Health Aid) with strong clinical and people skills.

Responsible care taker with excellent communication skills demonstrated by 10 years of experience in healthcare.

Strong ability to communicate clearly and effectively to patients and staff.

Multi-lingual with English, Polish, Slovak, Russian

Skill Highlights
  • Strong medical ethic
  • Familiarity with disease management programs
  • HHA Certified
  • Patient/family focused
  • Acute and rehabilitative care
  • Feeding assistance specialist
  • Care plan management
  • Client safety and first aid
  • Recruiting and training
Accomplishments
Patient Care
  • Delivered compassionate care that exceeded requirements.
  • Successfully provided quality care to 5 personal patients in the comfort of their homes.
  • Ensured quality control through admissions, assessment, treatment, and referral for a broad range of patients.
  • Treated patients suffering from Alzheimer's, acute chest pain, respiratory failure and mobility restrictions.
  • Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
Professional Experience
03/2015 to Current
Healthcare Manager Sunrise of Paramus Paramus, NJ
  • Worked to improve resident outlook and daily living through compassionate care
  • Assisted disabled individuals to foster independence while still closely monitoring safety at all times
  • Supervised and assisted with frequent activities such as medication and personal hygiene to ensure safety
  • Developed strong and trusting rapport with each resident to facilitate best possible care and assistance
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system
  • Always assisting to better benefit over all work-team and resident satisfaction
  • Familiar and comfortable with various mobility apparatuses
  • Accustomed to many conditions including Alzheimer's, Dementia, Strokes, etc
11/2009 to 06/2016
Personal Home Health Aid Self Employed NJ

  • Assisted the patients with Alzheimer's, heart conditions, and mobility issues.
  • Massaged patients and applied preparations and treatments, such as liniment, alcohol rubs and heat-lamp stimulation.
  • Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
  • Assisted with adequate nutrition and fluid intake.
    Planned, prepared and served meals and snacks according to prescribed diets.
    Provided transportation, assistance and companionship to client.
  • Ensured efficiency of treatments through monitoring of treatment regimens.
  • Frequently commended for maintaining the safety, respect and dignity of resident.
  • Escorted patient to examination rooms and prepared them for physician exams.
Education and Training
2013
HHA Certification: Home Health Aid Heartfelt Home Care Denville, NJ, USA
Certifications
HHA- Home Health Aid
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Summary
Seeking career change in Recruiting where I know I will be a driven Entry level Recruiter who maintains a positive attitude under pressure and welcomes the challenge and responsibility of producing results quickly for clients.
I'm ready for a new career where what I do for a living means something, I'm a people person, determined, love to see people win. And I know if given a chance, I will be able to exceed company goals while placing clients with the employer they love!
Skills
  • Proficient communicator
  • Excellent interpersonal and coaching skills
  • Motivated
  • Innovative
  • New hire orientation
  • Seasoned in conflict resolution
  • Courteous demeanor
  • Sharp problem 
  • Energetic work attitude
  • Telephone inquiries specialist
  • Customer service expert
  • Telecommunication skills
  • Adaptive team player
  • Active listening skills
  • Strong organizational skills
  • Training and development
  • Client-focused
  • Quick learner
Experience
03/2014 to 03/2018
Enrollment Agent Morphotrust Morrisville, NC
 -Protect the lives of the American people by processing fingerprints and other biometrical data so TSA can complete background checks on individuals wanting security pre-screening, access to secure locations and handle hazardous materials.
-Train new hires and give company overview
-Ensure work is accurate in regards to spelling and authenticating federal documents
-Work independently, making decisions in regards to clients, payments, scheduling, and equipment, security along with proper opening and closing of offices. (Ending Contract)
09/2011 to 03/2014
Financial Agent Essentia Financial Jackson, MS
-Trained staff on how to improve customer interactions.
-Collected customer feedback and made process changes to exceed customer satisfaction goals.
- Called clients to discuss and collect past due debits by negotiating and persistence -worked remotely during emergency situations
07/2009 to 07/2011
Claims Insurance Agent Southern Farm Bureau Casualty Insurance Company Ridgeland, MS
-Interprets basic policy coverage and determines if coverage apply to claims submitted, escalating issues as needed.
-Sets activities, reserves and authorizes payment within scope of authority, settling claims in most cost effective and timely manner. Ensures prompt issuance of disbursements while effectively managing loss costs and claim expenses.
-Participates in performing investigations and evaluating claims through contact with insureds, claimants, witnesses and experts.
-Identifies and escalates serious claim developments to management efficiently and effectively.
Education and Training
2009
Bachelor of Arts: Communications/Journalism Tougaloo College Jackson, MS, US
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Professional Summary
Results driven individual looking for a full time position which my work, experience, skills and education will assist me in every task given. 
Skills
  • Strong communication
  • Driving commercial vehicles
  • Relationship building
  • Project management
  • Troubleshoot/repair of equipment
  • Self-motivated
  • Effective at multi-tasking
  • Fast learner
Work History
Owner, 01/2017 to Current
Hickey's Landscaping Renton , Washington
  • Provided outstanding customer service.
  • Accurately read, understood, and carried out written instructions.
  • Pruned trees, shrubs and hedges using hand pruners and trimmers.
  • Deadheaded annuals and flowering perennials to encourage further flowering and growth.
  • Mowed, weed whacked and mulched planted areas and lawns.
Licensed Insurance Agent, 10/2016 to 05/2017
Assurance Bellevue , WA
  • Calculated premiums and established payment methods for sales.
  • Evaluated leads obtained through direct referrals, lead databases and cold calling.
  • Modeled exceptional customer service skills and appropriate diagnostic sales techniques.
  • Finalized sales and collected necessary deposits.
  • Collected all premiums on or before effective date of coverage.
  • Contributed ideas and offered constructive feedback at weekly sales and training meetings.
Vice President Operations, 06/2016 to 06/2017
Bounce E House.com Corporation Bellevue , Washington
  • Answered clients' questions about the purposes and details of financial plans and strategies.
  • Explained and documented for clients the types of services to be provided.
  • Maintained friendly and professional client interactions at all times.
  • Established project control procedures such as project forecasts and cash flow projections.
  • Established and maintained over 5 vendor partnerships.
Delivery Driver, 03/2016 to 06/2016
Amazon Fresh Bellevue , Washington
  • Verified each delivery against shipping instructions before delivering to customers.
  • Contacted customers prior to delivery to confirm and coordinate delivery times.
  • Loaded truck and properly secured items to prevent damage during transportation.
  • Completed on-time deliveries by choosing the best and most efficient routes.
  • Verified that vehicle inspection stickers and registrations were current.
Customer Experience Specialist, 08/2014 to 08/2015
Verizon Issaquah , WA
  • Answered an average of 35 calls per day by addressing customer inquiries, solving problems and providing new product information.
  • Greeted customers entering the store to ascertain what each customer wanted or needed.
  • Described product to customers and accurately explained details and care of merchandise.
  • Provided an elevated customer experience to generate a loyal clientèle.
  • Conducted weekly walk-throughs with the manager to discuss interior visual displays, including store window presentation.
Education
High School Diploma: 2013
Hazen Senior High School - Renton , WA
Volunteer Experience
Celebration Foursquare Church
Volunteer 
2011 - Current
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Professional Summary

Outstanding background in customer service and adept at resolving technical support issues. Critical thinker who addresses customer support issues quickly. Level-headed and calm in stressful situations with well developed people skills.

Skills
  • Salesforce experience
  • California Accident & Health Insurance License / 2015
  • 100/wpm typing speed
Work History
In Car Technical Support 03/2018 to Current
Aerotek Chino, CA
  • Provided thorough support and problem resolution for customers
  • Displayed courtesy and strong interpersonal skills with all customer interactions
  • Worked with customers connectivity and system setting issues
  • Directing customer through retrieving codes, pairing their devices and troubleshooting system navigation concerns
  • Maintained composure and patience in face of difficult customer situations
Medicare Call Center / Open Enrollment 08/2017 to 01/2018
Insight Global Los Angeles, CA
  • Modeled exceptional customer service skills that customers would speak to management about the excellent performance
  • Calculated quotes and educated potential clients on Medicare insurance options
  • Reviewing every detail of Medicare Advantage policies and ensuring customers they were in good hands
Covered California Certified Insurance Sales 10/2016 to 12/2016
Nelson Staffing Irvine
  • Provided clients with Covered California-Marketplace insurance policies best suited to their needs
  • Closed an average of 50 new sales per week
Independent Contractor 01/2016 to 04/2018
Coldwell Banker Yorba Linda, CA
  • Showed properties to potential buyers and other brokers at open houses and by appointment
Health Insurance Sales/BCBS 09/2015 to 01/2016
Alta Resources/HCSC Brea, CA
  • Calculated quotes and educated potential clients on insurance options
  • Effectively managed a high-volume of inbound and outbound customer calls
  • Modeled exceptional customer service skills and appropriate diagnostic sales techniques
Independent Contractor 04/2011 to 02/2016
Keller Williams Beverly Hills, MO
  • Negotiated, facilitated and managed real estate transactions
  • Generated listings and sales through marketing and referrals
  • Presented purchase offers to sellers for consideration
  • Completed 100's of BPO reports for asset companies
Independent Contractor 12/2009 to 03/2011
Rodeo Realty Beverly Hills, CA
  • Presented purchase offers to sellers for consideration
  • Communicated with clients to understand their property needs and preferences
  • Negotiated, facilitated and managed real estate transactions
Majorica Specialist Sales 08/2008 to 11/2009
Bloomingdales Century City, CA
  • Completed all point of sale opening and closing procedures, including counting the contents of the cash register
  • Operated a cash register for cash, check and credit card transactions
Loan Processing Assistant / Office Management 12/2007 to 08/2008
The Real Estate Bank Ontario, CA
  • Loan processing assistant, verified information, assembled files
  • Strengthened company\\\\\\\\\\\\\\\\'s business and created the first real estate files and all company checklists
  • Monitored and approved all closing files, account receivables and invoices
Education
Coursework in Sociology, Anthropology & English Literature York University - North York, Ontario, Canada 18 Courses Completed.
Affiliations

NMLS, BHGLAAR, CLAW, MLS, CAR, NAMU, NAR, Society of Children's Book Writer's and Illustrators

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Professional Summary
I am seeking an opportunity to thrive within an outstanding organization. I am confident my job performances as a Social Worker and Entrepreneur will prove to make me a valuable asset to any organization
Skills
  • Effective listener
  • Team player
  • Self-motivated
  • Ability to work in multiple screens
  • Excellent time mangement skills
  • Superb verbal and written abilities
  • Data entry
  • Computer-savvy 
  • License-eligible in the state of GA
  • License-eligible in the state of GA
  • Ability to DE-escalate clients in another vulnerable emotional state former police officer
  • Able to meet Criminal Clearance 
  • Experience working with adults
  • Excellent team player 
  • Group facilitation, presentation, and organizational skills
  • Team player and self-motivated
  • Understanding of diverse communities
  • Experience with diverse populations
  • Sensitive to cultural differences
  • Excellent organizational skills
  • Ability to categorize based on priority
  • Medical Coding
  • Medical billing
  • Property insurance
  • Casualty insurance
  •  Life and health insurance
  • Proactive team player
  • Ms Office
  • Personable
  • Driven
Education
Bachelor of Science: Social Work, 2018
Troy University - Riverfront Campus Phenix City
  • 3.7 GPA
  • Coursework includes Social Work with Individuals, and Families
  • Social Work Policy, Social Work Direct Social Work Practice theory and Skills,Social Work With Groups, Social Work Generalist. Social Work, Human Behavior in the Social Environment, Human Services Ethics., Social work Children and Family.
  • Speech and Communication, Sociology and Psychology, Diversity, Ethics, Child Welfare, Macroeconomics, American National Government, Pre-Calculus Algebra, General Chemistry
  • Coursework in Anthropology
  • Coursework in Abnormal Psychology 
  • Coursework in Psychology  Understanding Human Behavior I and II
  • Continuing education Insurance Ethics. P & C Basics,Flood Insurance, Insurance responsibilities
  • Dean's List [Semester and Year]
  • Graduated summa cum laude
Master of Science: Social Work, 2019
Troy University - Phenix City, Alabama
  • Member of [Student Organization or Club Name]
  • Member of [Honor's Society Name]
Work History
Customer Service Specialist, 10/2013 to 03/2014
WellPoint(BlueCross and Blue Shield)Insurance Company 6175 Technology Pkwy, Midland, GA
  •  Proficient with using computers and software
  • Example: Microsoft Word, PowerPoint, Excel
  • Quoted benefits to providers from members benefits packages Examied  claims, research claims denial
  • Proficient with Medical terminology Anatomy and physiology Proficient with Medical coding ICD-9 , ICD 10, CPT
  • Kept records of customer interaction and transaction, recorded details of inquiries, complaints, and comments, as well as action taken.
  • Excellent understanding of different types of insurance plans, HMO, PPO, POS ect.
  • Calculated premiums and established payment methods for sales.
  • Met with an average of five -ten walk-in policyholders per day to address and resolve complaints.
  • Modeled exceptional customer service skills.
  • Finalized sales and collected necessary deposits.
  • Collected all premiums on or before effective date of coverage.
  • Addressed  customer inquiries and complaints each week.
  • Followed up with customers on unresolved issues.
Insurance Agent/Customer Service Specialist, 01/2012 to 07/2013
Alfa Insurance Company 4809 Armour Rd, Columbus, GA 31904
  • Complete contract forms, prepared change of address records,  filing claims
  • Proficient with using computers software
  • Example Microsoft Word, PowerPoint, Excel.
  • Contact customers in order to respond to inquiries or to notify them of claims investigations results and planned adjustments.
  •  responsible for setting up electronic transfer of funds from banks to client accounts.
  • Kept records of customer interaction and transaction, recording details of inquiries, complaints, and comments, as well as action taken.
  • Calculated premiums and established payment methods for sales.
  • Finalized sales and collected necessary deposits.
  • Collected all premiums on or before effective date of coverage.
  • Calculated quotes and educated potential clients on insurance options.
  • Followed up with customers on unresolved issues.
  • Tracked the progress of all outstanding insurance claims.
  • Collected deposits took to the bank.

Data Entry Specialist, 01/2003 to 01/2004
Valley Health Care Diabetes Collaborative
  • My responsibilities included extracting data from patient medical charts.
  • Working closely with nurses' physicians and Pharmacist to monitor and maintain good health care quality for fixed income patients.
  • Proven ability to be accurate, methodical and detailed oriented.
  • Medical terminology,
  • Release of Patient information
  • Knowledge of HIPAA regulations Act of 1996.
  • Evaluated patient information in chart for accuracy 
  •  Performed inquiry to get accurate data in patients chart
Adminstative Assistiance , 01/2000 to 01/2003
Three Rivers AHEC(Area Health Education Center ) 2022 15th Ave, Columbus, GA 31901
  • Worked closely with the Preceptor Coordinator as a guide for Medical Students
  • Assistant to the Practice Management Specialist helping physician's office with their Medical Coding, and billing inquiries
  • Assisted with coordination of seminars/training for Healthcare Professional, and students.
  • Assisted the Health Careers Coordinator
  • Helped plan presentation and writing agendas for special events for our area high school students and local colleges for students with careers choices in health care field.
  • Proven ability to be accurate, methodical and detailed oriented , medical terminology, release of information; Knowledge of HIPAA regulations,
  • Working knowledge of CMS 1500 and UB92 claims forms.
Work Study Student Administrative Assistants, 10/2017 to Current
Troy University - Phenix City Phenix City, AL
  • Managed office supplies, vendors, organization and upkeep.
  • Answered and managed incoming and outgoing calls while recording accurate messages.
  • Opened and properly distributed incoming mail.
License/Certificates

Georgia Licensed Insurance Agent, Property and Causality/Life and Sickness  2012- Present Certified Medical Coder AAPC 2006/2014 expired Columbus Technical College 2006- 2009 Medical Coding and Allied Health, Columbus, Georgia Medical Coding and Billing Columbus College Continuing Education.

Additional Information

This resume is created in 7 minutes.
Professional Summary
To acquire an advanced position within a growing organization that will effectively utilize my leadership, administrative and organizational abilities, while using a customer-focused driven approach
Skills
  • Medical Terminology
  • Microsoft Word, Excel and Access
  • ICD 9, ICD 10, CPT/HCPCS Codes
  • High Dollar Claims
  • Archer, Client Letter, Siebel, Diamond
  • JIVA/CMCA
  • CMS Claims Coding Guidelines
  • Provider Contract and Price Configurations
  • Allscripts, Meditech, Facets, Epic
  • Managed Care Operations
  • Quest, PIP/PIM
  • Health Plan Services
Work History
Health Insurance Casework Advocate IV, 09/2016 to Current
Florida Blue Jacksonville, FL
  • Receive, triage and resolve HICS casework for Florida Blue in order to meet compliance guidelines associated with the Affordable Care Act
  • Fully research and resolve urgent Level 1 and 2 cases per CMS guideline within 3 -15 calendar days of receipt of the case by the issuer
  • Comply with the Business Ethics, Integrity and Compliance (BEIC) Guidance Handbook and all SO HICS Operations SOPs/DTPs when resolving all casework
  • Comply with Federal regulations pertaining to written notification/letters as outlined in BEIC Guidance Handbook and all SO HICS Operations SOPs/DTPs
  • Contact the consumer and ensures that all case issues raised by the consumer have been addressed   
  • Select the proper static letter via client letter system or create a customized letter to address the member's complaint and provide the summary of the resolution taken 
  • Participates in case specific verbal discussions
  • Attends meetings and participates in work groups at the direction of management
  • Participates in special projects and performs other duties as assigned




Resolution Research Analyst, 02/2016 to 08/2016
Amerihealth Caritas Jacksonville, FL
  •  Research, compile, and respond to documentation requests from Providers 
  • Review claims to ensure they are properly submitted by the provider
  • Review and research assigned claims by navigating multiple computer systems  and accurately capturing the data/information necessary for processing (e.g. verify pricing, prior authorizations, applicable benefits)
  • Maintains a current working knowledge of processing rules, contractual guidelines, plan policies and operational procedures
  • Research claims utilizing investigation and research skills on complex cases
  •  Assist in the Identification of process gaps and trends; providing explanations and feedback to staff and management
  •  Identifies key issues with projects and offers solutions 
  •  Provides documentation, as appropriate, to support payment decision












Provider Claims Service, 12/2013 to 02/2016
Amerihealth Caritas Jacksonville, FL
  • Answer incoming phone calls from health care providers (i.e. physician offices, clinics) 
  • Focus on resolving issues on the first call, navigate through the appropriate computer system(s) to identify the current status of the issue and provide appropriate response to caller
  • Deliver all information and questions in a positive, conversational and compassionate manner to facilitate developing a relationship with the provider, while providing the best customer service experience possible
  • Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends









Remote Medical Billing Specialist, 07/2008 to 08/2015
Cardiovascular Consultants St Augustine, FL
  • Code inpatient, outpatient, observation, ER service
  • Abstract Medical Records with ICD-4CM, CPT, and DRG coding
  • Prepare and submit claims to various insurance companies
  • Identify and resolve patient billing complaints
  • Perform various collection actions including contacting patients and insurance companies by phone
  • Correct and resubmit claims
  • Maintain confidentiality of personal and financial information








Education
Bachelor of Science: Howard University - Washington, DC
Leadership
  • Energetic and Goal focused Professional with solid qualifications in Customer Support/Client Care
  • Act as a Resource to Others