Experience

Meridian

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Member Benefit Coordinator

  • Oct 2017 - Present

  • Conduct inbound/outbound telephonic contact with members in a professional manner and maintain phone stats according to departmental key performance indicators for Medicaid, Medicare, and HIX Line of Business • Handles incoming, outgoing, and returned mail as member of Preproduction Team• Ensured members received follow up calls, and providers received requested records in a timely fashion• Proficient in HIX, Medicaid, and Complete lines of business• Acts as a liaison between members and leadership on all issues by deescalating supervisor calls• Certified Training Liaison for the MeridianChoice and MeridianComplete line of business and assists in the training and onboarding of all new hires• Applied a Kaizen approach to producing continuous significant time management results as a team• Elected by Leadership to be a participating member and meeting leader within the Job Aid Committee to ensure job aids and all related materials were in order, easily accessible, and met all SOPs• Attended community outreach engaging events for the MeridianChoice and Medicaid lines of business• Assist members and providers based on assigned skills, including authorizations and claims inquires• Educate members and providers on policies and procedures regarding access to care, grievance and appeal process, eligibility process, HIPAA, rights and responsibilities, and fraud, waste & abuse• Educate members and providers on Meridian Health policies and procedures regarding access to care, grievance and appeal process, and eligibility process• Made appropriate corrections to claims that could not be processed through Claims Vertexting• Completing follow-ups with members to ensure all their concerns have been resolved and guarantee a one-call resolution• Assist in shadowing for future Meridian Choice team representatives• Quit coach for the New Beginnings Program helping members to quit smoking



AAA

• Consumer Services
• 700 & Above Employee

• Customer Service Representative

  • Apr 2014 - Oct 2017

  • Answer inbound phone calls from AAA members in need of emergency road service • Respond to customer requests and questions regarding service using established guidelines and procedures • Access and/or update member records/other duties as assigned • Actively offer other AAA products to ensure customer satisfaction to Build relationships with members. • Awarded December 2015 Employee Of The Month for ability to relate, coach, and motivate a team in an effective professional manner.



Henry Ford Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Environmental Services Clerk & Food Service Rep

  • Sep 2012 - Dec 2013

  • Provided general preparation and arranging of specified foods and beverages in cafe/deli setting in the hospital.• Monitored and ensured moderate temperature of appliances and food.• Maintained extensive knowledge of daily menus and monetary transactions between $500.00-$600.00 daily. • Disinfected patient rooms when occupied and after discharge and prepare rooms for next patient. • Kept nurses stations clean, disinfected, and in compliance with hospital policy. • Disposed of used needles and hazardous materials to ensure proper handling procedures are met.



Maya's Deli Of Plymouth

• Assistant Manager

  • 2005 - 2012

  Assistant Manager • Supervised auxiliary staff and developed scheduling to offset operational hours. • Managed daily activities of establishment to achieve targeted sales goals of over $1,000.00 daily. • Managed product storage, maintenance and rotation activities to avoid any damages or spoilages. • Assisted in preparation of inventory and sales budgets. • Analyzed profit and loss statements and recommended improvements to meet department goals. • Assisted in interviewing, hiring and training associates. • Provided training to staff on company policies and sales guidelines. • Conducted regular inventory and product procurement. • Operated cash register and balanced cash and credit transactions at end of each scheduled shift. • Supervised production of customer orders to ensure quality control standards were met. • Provided friendly and courteous service to all customers, resulting in repeat patronage. • Resolved customer complaints, ensuring 100% customer satisfaction. • Established good working relationships and communicated effectively with management, peers and fellow workers.