I strive to aid others in becoming confident in their insurance advocacy by educating them in their plan provisions.

Ramona

Greene

 

ramonagreene@hotmail.com

PROFESSIONAL SUMMARY

Industrious Sales Associate with demonstrated skills in product merchandising and sales promotion. Maintains thorough product knowledge to make individualized recommendations. Dependable employee seeking opportunity to expand skills and contribute to company success. Considered hardworking, ethical, and detail-oriented.

SKILLS

Financial records oversight
Inventory control
Hospitality and accommodation
Strong communication
Meeting deadlines
Calm demeanor
Task prioritization
Time management
Analytical thinking
Dispute arbitration

EXPERIENCE

Sales Associate
Ross Stores | Fort Worth , Tx

September 2015 - Current

Greets customers and provides prompt, accurate and efficient assistance.
Adheres to the execution of established safety, security quality and store operation policies, procedures and practices.
Resolves customer issues in a practical and courteous fashion.
Follows company policies and procedures regarding POS transactions including checks, cash and credit purchases or refunds.

Grievance Coordinator
United Healthcare | Richardson, Texas

April 2012 - March 2020

Managed the receipt, investigation and resolution of standard, expedited and executive member and provider appeals, complaints and grievances.
Gathered, analyzed, documented and routed medical record requests from providers and vendors.
Documented and maintained historical records and input data in various computer programs and databases.
Interacted and communicated with department personnel, providers and members. 
Prepared prompt, accurate and detailed resolution letters for provider and member complaints, appeals and grievances. 
Adhered to the strict guidelines and timeframes set by The Centers of Medicare and Medicaid (CMS), Health Insurance Portability and Accountability Act (HIPAA) and the Health Plan.
Last Resume Update August 19, 2023
Address Fort Worth, Texas
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