Celestine Davis Email & Phone Number

Florida, United States

Tampa, Florida, United States

Monitor attendance, tardiness• Assign duties to specific employees based on role and skills• Supervise employees and assist with tasks as necessary• Manage employee’s requests and transgressions• Train new and current team members on tasks• Handle associates’ issues and manage conflicts• Adhere to company policies and health, safety and employment standards

United States

working on the manufacturing process of product assembly, packaging of finished products and order fulfillment.

- Receives and answers 70-80 phone calls daily from a variety of customers (such as insureds, family members, medical providers, insurance agents, etc.) who are calling for service on an insurance policy and/or status of an insurance claim- Maintains the knowledge acquired from training through independent continual online courses including but not limited to company policies, computer applications, departmental procedures, and client products and services available- Thoroughly tracks and documents all contacts and conversations in the correct system; follows up to customer request, call backs, and outstanding work as required or as directed by management.- Help mentor new hire customer service representatives, ensuring that the company's high standards were met.-Provides Digital support by assisting customers with website registration, password resets and website navigation.

- Established processes for maintaining accurate work order files, resulting in a decrease of 8% of delayed deliveries - Updated customer accounts, and resolved customer issues for 98% satisfaction rate- Assisted in 200+ tele-sales that brought in new customers and used Microsoft Office tools to track customer experiences, communication, and marketing efforts

- Processed requests through email regarding rental termination and updated account and payment information.- Exceeded sales targets by 16% by maintaining a robust knowledge of product and quickly assessing customer needs- Answered And Appropriately Directed 80 To 100 Calls For Equipment Service, Rental And Billing Inquiries.

Lakeland, Florida

- Maintained a high level of customer satisfaction through effective verbal and written communication skills- Promptly handled an average of 80 customer inquiries and complaints per day with a 96% customer satisfaction rate - Collected patient copayments and recorded payment transactions; obtained third-party payer authorization for services provided and communicated outstanding balances to insurance companies and patients.

Tampa/St. Petersburg, Florida Area

- Coordinated with all levels of medical staff, including doctors and nurses, to ensure healthcare needs were being addressed.- Resolved provider payment issues as well as maintained excel spreadsheets with provider claims and contacts and worked with accounting to schedule payment dates for outstanding accounts.- Assisted in reviewing and monitoring hospital budget, including analysis of medical expenditures and cost overruns.

Tampa/St. Petersburg, Florida Area

- Organized and maintained patient healthcare record system, including medical billing and visit accounting.- Verified insurance eligibility and obtained clinical information needed for processing. - Contacted patient to advise them of order placed and to confirm demographic information, and financial responsibilities.

Tampa/St. Petersburg, Florida Area

- Collaborated with provider groups to develop, execute and monitor performance and patient outcomes improvement plans- Implemented strategies relating to the development and management of a provider network, and identifying gaps in network composition and services- Provided feedback to improve performance of provider support personnel, inclusive of clinical and non-clinical personnel

- Built a market for WellCare’ Iowa Medicaid expansion through credentialing different providers into Wellcare's network. - Handles a caseload of about 15-20 contracts a day and verified providers NPI and Tax Id's as well as up to date medical licenses and Liability insurance coverage. - Completed PLF entry of credentialing applications for Iowa providers into company systems. Send out completed contracts to provider along with WellCare's claims guidelines and disclosures after the contracts is configured and credentialed

- Implemented marketing strategies that resulted in a 12% increase in the number of customers.- Followed guidelines when reviewing applicant data to determine eligibility for financial assistance.- Authorized service requests from providers, as well as verified insurance eligibility through Navinet system.

- Answered 50-60 calls per day regarding patients interested in surgery and built patient profile.- Successfully implemented new methods to achieve increase in customer satisfaction rating by 27%- Handled customer complaints, organized and maintained all documents and records and presented new products to clients.

- Filled prescriptions and assisted customers with pharmacy transactions. - Processed orders for assisted living facilities and conducted billing account practices.- Precisely maintained pharmacy inventory, properly documenting and disposing expired products

Effectively processed pharmacy claims, communicated with insurance companies to provide adequate resolution to rejected claimsCompleted care and pharmacy authorizations for managed care facilities.

Processed prior authorizations timely to reduce regulatory complaintsEffectively communicated formulary information, resolved prescription drug formulary complaints, adjudication and authorization issues

Certificate, Certificate Of Completion In Medical Billing And Coding

Associate Degree, Associates Degree In Marketing/Management