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Open to opportunities

Elaina Turner

@elainaturner

Experienced customer service representative with 20 years of expertise.

United States
Message

What I'm looking for

I seek a role that values teamwork and offers opportunities for growth and development.

With over 20 years of experience in customer service, I am a self-starting and goal-oriented strategist dedicated to providing exceptional support and solutions to clients. My career has been marked by my ability to work effectively in high-pressure environments, demonstrating strong problem-solving skills and effective communication. I thrive on building relationships and advocating for clients, ensuring their needs are met with empathy and professionalism.

Throughout my career, I have held various roles that have honed my skills in healthcare navigation, credentialing, and customer care. My experience includes working with organizations such as Quantum Health and Aetna, where I successfully managed complex inquiries and coordinated with multiple stakeholders to enhance service delivery. I am committed to continuous learning and improvement, always seeking ways to enhance operational efficiency and customer satisfaction.

Experience

Work history, roles, and key accomplishments

QH
Current

Patient Service Representative

Quantum Health

Oct 2024 - Present (9 months)

Showed empathy and support to members during difficult healthcare situations, providing clear guidance on healthcare plans, billing, and provider options. Advocated for members by coordinating with providers and insurers to remove barriers to care, working collaboratively with internal teams to ensure accurate and seamless service.

TL
Current

Home Health Aide / Receptionist

Tender Home Care Providers, LLC

Mar 2017 - Present (8 years 4 months)

Assisted with office work, including filing paperwork and distributing important documents. Managed all affairs for a client, including scheduling doctor appointments, assisting with bathing, and distributing medication.

OC

Patient Experience Rep

OSU James Cancer

Jan 2024 - Jun 2024 (5 months)

Demonstrated professional conduct and promoted a positive image in face-to-face and telephone interactions. Fostered teamwork through mutual respect and positive interdepartmental relationships, while continuously engaging in educational processes to remain knowledgeable of hospital operations.

AC

Service Advocate

Aetna / CVS

Jul 2023 - Sep 2023 (2 months)

Multi-tasked and prioritized effectively in a fast-paced environment, demonstrating strong organizational and communication skills. Utilized multiple systems seamlessly to provide efficient service to members, showcasing deep problem-solving abilities and ownership of issue resolution.

MA

Credentialing Coordinator

Maximus

Sep 2022 - Present (2 years 10 months)

Credentialed applications for Providers in Ohio and surrounding states for ODM, handling inbound calls to assist providers with application completion and sign-in issues. Managed a high-speed email box, responding to providers and working through service desk tickets.

CC

Customer Solutions Representative

CorVel Corp

Mar 2010 - Dec 2015 (5 years 9 months)

Maintained and updated reference materials, assisting with Standard Operating Procedures and providing coaching to representatives. Communicated with claims adjusters and pharmacies to ensure correct billing and obtain prior authorizations.

ES

Pre-Estates CSR

Estate Information Services

Oct 2006 - Apr 2008 (1 year 6 months)

Received inbound and outbound calls regarding deceased party accounts, working with families to resolve debt issues. Assisted attorneys with confidential information and managed fax communications related to client accounts.

JC

Administrative Assistant & CSRII

JP Morgan Chase

Dec 2004 - Aug 2006 (1 year 8 months)

Responsible for daily office operations, reviewing and answering correspondence from clients via email. Deemed companies eligible for bank products and prepared documents for clients, handling daily inbound calls.

Education

Degrees, certifications, and relevant coursework

EA

Eastmoor Academy

Diploma, College prep

Completed a college preparatory curriculum at Eastmoor Academy, focusing on foundational subjects to prepare for higher education. The program aimed to equip students with essential academic skills for future collegiate pursuits.

Tech stack

Software and tools used professionally

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Elaina Turner - Patient Service Representative - Quantum Health | Himalayas