Eileen May Email & Phone Number

Detroit, Michigan, United States

Detroit, Michigan, United States

Processed all inbound/outbound calls for Medicaid, Medicare, and Commercial Insurance lines of business. Provided regular and complex claim status with determinations made to forward claims for review if indicated in the case of incorrect rejections and denials. Educated and assisted provider with services available to them as a contracted provider of Meridian. Assisted providers with authorization process and status including CPT/HCPCS code and procedure information. Provided eligibility and benefit information on members in all lines of business.

Detroit, Michigan, United States

Conducted inbound/outbound telephonic and virtual contact with members and providers. Educated members and providers on MHP policies and procedures regarding access to care, grievance and appeal process, eligibility process, HIPAA, rights, responsibilities, and fraud, waste, and abuse. Functioned as liaison between providers and members on all issues.

Southfiled, Mi

Provided customer service to agents by responding to inquiries received via telephonic and / or written communication. Role resided in customer service, processing, supplies, service support in Individual Medical and Dental insurance and Medicare pertaining to Blue Cross Blue Shield and Blue Care Network.• Received numerous agent compliments for exceptional customer service that involved professionalism, kindness, thoroughness and timely delivery of accurate information.• Recognized on consistent basis as top-2 performer in department in call and case volume, often most requested customer service representative for assistance.• Improved team bonus based key-performance indicator of lost calls 2% in 2 months by creating a motivational program and presentation on best practices and outlining / tracking weekly and monthly goals presented in consistent communications with fellow team members.• Assisted in redesigning the company performance review process by providing a collaborative goal-setting section in partnership between manager and employee. Employees and managers worked together to set annual goals and processes in which goals would be improved upon and measures that will decide on improvement and successful accomplishment of goals set.

Trenton, Dearborn, And Taylor, Mi

Oversaw front end and pharmacy department’s inventory, sales and profit in retail pharmacy. Supervised, trained, and developed a staff of up to 25 employees. Managed inventories up to $500K for sales, profit, and shrink control in front-end sales and pharmacy sales. • Recognized with promotions to manage larger stores in Taylor, Dearborn and Trenton. • Achieved success in steering store sales operations, generating high-volume growth and boosting store image.• Promoted to Certified Store Manager within 14 months of initial employment.• Provided leadership acumen and experience in managing broad scope of store operations, from product merchandising, asset protection and shrink management to personnel training, team development and client relations.• Created brand tables of store health and beauty products that resulted in the creation of “Ms. May’s table”, implemented in 10K stores across the country and in Puerto Rico.• Developed and administered budgets to optimize use of resources, control costs and boost bottom-line profits, resulting in being first non-24-hour store to make a profit in district. • Delivered quality customer service vital to sustaining and growing accounts with recognition from district manager, CEO and Operations Vice President of company.• Collaborated with management and staff to consistently increase average sale per customer by $0.25 every month with focus on suggestive selling and partners in profit.• Developed action plans to increase front-end sales monthly by average of 5% by training and developing staff.• Collaborated with Pharmacy Manger in developing Key Performance Indicator improvement program in pharmacy that utilized Pharmacy Staff, with average of 3% increase that resulted in company-wide recognition by Regional Vice President.

Inkster, Mi

Top assistant manager position that involved preparation, training, and development to become Store Manager.• Recognized as hands-on, proactive professional who could rapidly identify problems, formulate tactical plans, initiate change and implement effective programs in challenging and diverse environments.• Promoted to Executive Assistant Manger 6 months after starting employment.• Assisted Store Manager to direct store staff; actively collaborated in Human Resource operation functions.• Drove efforts to spearhead variety of store operations, including merchandising, inventory, shrink, sales, and marketing.

Inkster And Westland, Mi

Entry level management position that involved basic shift management, including developing knowledge of daily store operations and how to efficiently complete tasks assigned. Trained employees on basic job duties and customer service manners.• Credited for effectively addressing operational issues and resolving performance bottlenecks.• Served as liaison between management and personnel teams, cultivating productive environment of open communication, increasing employee retention and customer satisfaction.• Implemented customer service best practices, facilitating client-focused, service-oriented environment vital in maximizing customer satisfaction and retention.

Westland, Mi

Provided outpatient physical therapy care to patients that involved decreasing pain and improving body function with goal of returning patient to activities of daily living. • Provided quality care to clients, encompassing injury evaluation, treatment design, progress assessments, and infection control.• Applied extensive rehabilitation knowledge in treating clients with general orthopedic, neck / back injuries, post-surgical repairs, athletic injuries and work related injuries using modalities, durable medical equipment and exercise programs.• Assisted Physical Therapist in delivering treatment to patients in accordance with quality standard of department

Mba With Specialization In Healthcare Administration

Bachelor’S Degree, Biology With Athletic Training Emphasis