Shameka Crennel

P

Member Service Representative

Point32Health

Nov 2022 - Current (2 years 10 months)

• Respond to and manage a high volume of inbound calls, providing effective resolution to member inquiries while maintaining detailed documentation of each interaction. • Utilize probing techniques and educational opportunities to minimize repeat member calls, enhancing overall service efficiency. • Conduct in-depth investigations and initial interventions for member complaints, ensuring thorough analysis and resolution of issues. • Maintain adherence to key performance indicators and scheduled shifts to ensure consistent availability for member support, while demonstrating exceptional communication and active listening skills.

A

Customer Service Representative

ALORICAEXPRESS SCRIPTS

Jun 2022 - Nov 2022 (6 months)

• Educated patients on home delivery benefits, enhancing their understanding of the service to align with lifestyle needs. • Researched and resolved benefits coverage issues in collaboration with pharmacists and doctors' offices, offering patients informed guidance on medication access. • Managed concurrent tasks effectively, ensuring meticulous documentation of interactions and prior authorization processes for providers and patients.

W

Customer Service Representative

WPS Health Solutions

Mar 2022 - Apr 2022 (2 months)

• Addressed and resolved inquiries regarding healthcare coverage, benefits, and claims for a diverse range of stakeholders, ensuring accurate application of healthcare regulations and policies. • Analyzed and processed claims data, identifying and addressing specific issues, and coordinated external communications to gather necessary information for resolution. • Guided healthcare providers on proper billing procedures to minimize errors and streamline claims processing, enhancing overall efficiency. • Maintained a professional demeanor in all interactions, effectively communicating with clients through multiple channels to meet and exceed service level agreements.

Eligibility Specialist/Counselor

Integrated Resources INC

Apr 2021 - Feb 2022 (11 months)

• Assessed Medicaid applications for compliance and accuracy, ensuring adherence to eligibility requirements and processing determinations within mandated deadlines. • Compiled documentation, entered data, and calculated applicant income to formulate recommendations on the continuation, cancellation, or modification of active Medicaid cases. • Maintained timely and effective communication by addressing phone, written, and electronic inquiries, fulfilling all performance standards and objectives.

C

Homemaker

Crennel Household

May 2009 - Apr 2021 (12 years)

• Streamlined daily operations through meticulous housekeeping and home management, ensuring a well-organized and efficiently run living environment. • Coordinated a comprehensive scheduling system, aligning family activities and obligations to promote harmony and punctuality. • Administered household finances with diligence, including budget formulation and execution, as well as timely bill payments, contributing to a stable financial structure.

Crew Member/CSR

McDonald's

Jun 2008 - Nov 2008 (6 months)

• Efficiently handled payment transactions, ensuring accurate processing of both cash and credit purchases while delivering prompt service in order fulfillment. • Maintained rigorous standards of cleanliness and safety across multiple areas, complemented by professional and friendly customer interactions to enhance service quality.

Shameka Crennel

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