Experience

DST Health

• United States
• Software Development
• 300 - 400 Employee

• Claims Specialist

  • Jun 2017 - Present

  Understanding of claim EX, CPT, ICD-9 ICD-10 codes and denials. Ability to clearly communicate with a provider if a claim has been denied accurately. While being able to review a claim if denied in error and giving explanation for the review and adjustments team. Thorough understanding of claims adjustments and processing while having a well-rounded comprehension of guidelines provided by either; client specific plans or Medicaid and Medicare mandates. Service member calls and assist with locating in-network providers/facilities and any other benefits regarding members or grievances. Strives to resolve all request, issues and concerns per provider or members, in a high call volume environment. Peer support and efficiency are highly important. Performed and executed a productive tool, to cut handle time and improve efficiency. I was responsible for reporting all results and details to supervisors for review. As a result, efficiency and handle time was improved by nearly 50%. At this time, the project has been expanded to additional representatives in which I am training and assisting them to also be more productive in facilitating their individual client’s needs. Considered an informal leader, in which peers are comfortable in asking for assistance for more difficult scenarios and supervisors instill trust in additional projects. Standard goals are maintained on monthly bases. Supports Pharmacy claims processing, as well as Medicaid claims and Medicare.



Konica Minolta Business Solutions U.S.A., Inc.

• United States
• Technology, Information and Internet
• 700 & Above Employee

• Healthcare Account Executive

  • Aug 2016 - Jun 2017

  A highly effective Account Executive in the Healthcare industry. Background and Education consist of Tier 1-3 IT Support, Cyber Security, EHR, ECM and Document Management. Trained in development of multiple platforms with reliable knowledge and deployment of programs. HIPPA and HITECH Compliance, Procurement and a vast variety of crossed technology and software. I am easily relate-able, to collaborate with key decision makers and to engage in industry specific, productive relationships. A teacher/trainer mindset, that is comfortable educating and deploying software or hardware needs for client employees for ease of understanding and creating a reliable relationship.



YP, The Real Yellow Pages®

• United States
• Advertising Services
• 700 & Above Employee

• Account Executive

  • Jan 2015 - Aug 2016

  • Maintains current relationships with clients, manages affiliated marketing assets, and assists in continually evaluating marketing opportunities to achieve a client’s short-term and long-term business goals, including return on investment and other key performance indicators. • Stays current on technological and algorithmic changes associated with Search Engine Optimization and Search Engine Marketing, as well as procedures for evaluating Presence and Brand Awareness in an effort to optimize a client’s marketing plan and cross-sell additional marketing channel opportunities. • Manages client accounts for appropriate billing and works to find optimal solutions for various budgets across a variety of industries, while also serving as a liaison between clients and technical support. • Sets and currently exceeds a $75,000 monthly sales goals by focusing on building and maintaining strong client relationships through the refinement of excellent customer service skills.



Byers Engineering Company

• United States
• Telecommunications
• 500 - 600 Employee

• Project Manager

  • Jun 2013 - Dec 2014

  • Served as the District Manager of South Florida and assisted with other southeastern districts as needed. • Quality checked blueprint and construction designs from beginning of project through final certification that included updating records for AT&T U-verse sites, verifying fault codes within cables, scheduling replacements of defective cables, communicating with technicians and supervisors for efficient and effective scheduling, and minimizing technical site visits to stay within project budgets. • Utilized BSTCAD, Mobile Mapping Tools, and Office Suite to consistently meet monthly goals of area certifications, effectively track and communicate project statuses, and stay within set timelines and budgets. • Trained colleagues and staff on procedural project changes as well as assisted in training new hires on current project specifications and troubleshooting software issues.



Verizon

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Small Business and Consumer Sales Representative

  • Sep 2012 - Jun 2013

  • Served as a Small Business Advisor and Certified Apple Expert to educate consumers and business owners about existing equipment, additional products, incremental services and add-ons, and assisted with troubleshooting networks, devices, and hardware and software issues.• Acted as in-store Merchandising and Operational Lead with management responsibilities and led workshops in a classroom setting to train customers and business owners on existing and new devices as well as software products.• Performed detailed account analysis as needed and provided excellent customer service daily.• Awarded #1 Sales Representative for the Alabama/Georgia region for the 2012 4th Quarter by continually meeting and exceeding monthly sales and service quotas (ranked out of 1,000 sales associates).

• Service Technician

  • Jul 2011 - Sep 2012

  • Served as an in-store Technician for both customers and other colleagues on existing product lines, new product releases, and operating system changes and updates, as well as provided technical assistance and troubleshooting support, including software re-flash assistance for multiple operating systems, for all clients and personnel.• Led in-house trainings for store employees as well as customer workshops on existing and new hardware and software products, in addition to offering training on knowledge like the basics of operating systems and troubleshooting.• Oversaw and reconciled store inventory monthly and was responsible for the daily reporting of store metrics and trends.• Provided one-on-one training for first time smart phone users on the operation and use of their device, successfully offered additional individual assistance to dissatisfied customers in an effort to minimize returned items, as well as performed detailed account analysis as needed and provided excellent customer service daily.