AHS 8100 Student

Present and Recent Past Positions

Blends academic training in human services with hands on experience in administrative
support. A proven and effective communicator with strong organizational and analytical
skills. A growing professional with versatile and transferrable skills to enhance any team.

Delaware Physicians Care Inc.,

An Aetna Medicaid Plan, Customer Service Representative, AAERG Committee
(African American Employee Resource Group), DELTA Team, Pilot Programming,
Management-Employee Relations Group
(2007 to 2015)

Kent Community Health Center

Delmarva Rural Ministries, Patient Service Representative, Telephone Skills for
Office Professionals, Migrant Worker Training
(2005-2007)

Shore Health Systems

University of Maryland Medical Systems, Diagnostic and Imaging
(2000-2003)

Acquired Skill Set

Receiving inbound calls from Delaware Physician Care members as well as

providers. Assist with understanding benefits package.
Resolve issues presented by PAR (in network) providers as well as non-PAR ( not
in network) providers
Review claim status with members and providers including paid dates and
reviewing denied claims
Case management

Processes claim referrals, new claim handoffs, nurse reviews, complaints

(member/provider), grievance and appeals (member/provider) via target system.

Handle extensive file review requests. Assists in preparation of complaint trend
reports. Assists in compiling claim data for customer audits

Create ISP (individual service plans) for youth on caseload

Answered multi-phone lines and transferred call to appropriate staff

Attend planned meetings such as IEP and Truancy Court for youth in juvenile
justice system
Coordinate youth mentorship program
Calculated end of month reports
Coordinate care of patients with specialty visits
Report trends in patient care

Educational Training
Wilmington University
M.S. in May 2015, Administration of Human Services

B.S. in Dec 2013, Arts of General Studies