Fast Help Desk, Tier 1 Resume Morrisville, NCÂ - Hire IT People

SUMMARY:

Creative thinker effective troubleshooter, deliver quality customer service, efficient user of Microsoft Office software (i.e. Word, Excel, SharePoint and Outlook) type 40+ WPM proficient in medical insurance policy and procedures proficient with systems (Power MHS, Edifecs, Facets, NC Fast, Medhok, Oracle, CMS, and Remedy)
Proficient with report writing, research, and medical terminology
Proficient with processing medical claims/ billing and applying medical coding
Quick Learner and Team Player

PROFESSIONAL EXPERIENCE:

Confidential, Morrisville, NC

Fast Help Desk, Tier 1

Responsibilities:

Assisted all DHHS Caseworkers with processing applications through the NC Fast System.
Responsibilities included monitoring the database, troubleshooting issues with applications and resolving trouble tickets within the Remedy System.

Confidential, Durham, NC

Ethic Compliance Analyst

Responsibilities:

Resolved claims errors & discrepancies, issued reinstatements, and handled S.E.P requests.
Maintained current knowledge of all updates to company regulations, compliance standards, policies, and procedures and applying that information to resolve or in response to grievances or appeals filed by members.

Confidential, Raleigh, NC

Senior Resolution Specialist

Responsibilities:

Customer Care Representative, handling a high volume of inbound and outbound calls from the membership and educating members about their health insurance benefits.
Promoted within six months to the Senior Resolution Specialist role, working closely with staff in all departments to determine the status of appeals filed by members.
Researched complex claims, responded to sensitive inbound calls, and replied to grievance emails from the members.
Provided resolutions and de - escalating any escalated calls received by my peers.

Confidential, Durham, NC

Store/Stock Associate

Responsibilities:

Responsible for receiving merchandise, unloading or unpacking it, marking it with codes to be identified, stocking shelves, and helping customers place orders.
Also I was responsible for provide exceptional customer service to all customers.

Confidential, Butner, NC

Correctional Officer

Responsibilities:

Supervised 100 inmates housed in a 23 hr. maximum security unit, ensuring a safe, secure and orderly prison operation and an effective response to emergency situations.
Maintained public safety in the face of daily hostility, risks and difficulties.