Monique Witherspoon
Hopkins
Summary
My achievements is what keeps me striving for better. My quality of work shows that I am dedicated to my team and company. I set goals and expectations to meet daily/monthly/yearly. As a leader this helps me achieve my goals and also my team meet their goals as well.
Overview
11
11
years of professional experience
Work History
Customer Service Representative Lead
UnitedHealthcare
03.2022 - Current
- Assist members with their Healthcare insurance benefits
- Assign Primary care provider to members
- assist with scheduling appointments, checking providers in network statues
- Review members benefits
- Adjust claims/billing payments
- Assist members with filing appeals and grievances
- Follow up on appeals and grievances with ATS
- Assisting with premium payments each month for members
- Assist members with locating in network pharmacy/clinics
- Pulling team reports
- Assist supervisor and the team to meet metric goals
Scan Operator
Data Recognition Corporation
03.2018 - 03.2022
- Scan school test booklets
- Assure proper image quality
- Assign number for each students booklet
- Assure accurate count of booklets
Customer Service Representative
Alight Solutions
10.2013 - 11.2018
- Handling a high volume of inbound calls
- Conducted outbound calls for follow up as required
- Answer concerns and questions for members
- Solving complex issues relating to their health care benefits, 401k savings, life benefits, retirement plans, leave of absence, payroll and/or human resource related services
- Recognizing/acknowledging the need for additional research in order to resolve any issues reported by the member
Education
Associate - Business
Hennepin Technical College
Brooklyn Park, MN03.2016
Skills
- ATS- Appeals and grievances tracking system
- Epic
- Word
- Excel
- Medical Terminology
- Patient Records
- HIPAA
- OSHA Training
- Medical Billing
- Insurance Verification
- Medical Office Experience
- Intake
Timeline
Customer Service Representative Lead
UnitedHealthcare
03.2022 - Current
Scan Operator
Data Recognition Corporation
03.2018 - 03.2022
Customer Service Representative
Alight Solutions
10.2013 - 11.2018
Associate - Business
Hennepin Technical College
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