LaShay Pinckney

Responded to healthcare inquiries via telephone, written, and web channels, researching issues as needed and documenting case details. Used Athenahealth to access medical records, Careapp to schedule appointments, and explained EOB availability to members.

Provided prompt, accurate, and courteous responses to customer inquiries through telephone, written, and web channels, including researching and adapting for complex situations. Coordinated with other departments to resolve issues and advised members on EOB availability and related claim questions.

Assisted teachers with Pre-K and Kindergarten classroom support and helped students with daily tasks. Supported classroom operations through direct student assistance and routine help as assigned.

Provided prompt, accurate, thorough, and courteous responses to customer inquiries through phone, written, and web channels. Researched as needed, handled situations requiring adaptation, and documented inquiry details.

Provided accurate responses to non-routine customer inquiries that required deviations from standard screens and procedures. Forwarded provider claims for adjustment and provider appeals for review, and advised providers on member benefits and eligibility for advanced imaging-related inquiries.

Responded to member inquiries with accurate, timely, and courteous information, researching and documenting cases and coordinating with other departments as needed. Used EMR/EHR to access medical records and assisted members by explaining EOBs and related claim questions.

Pursuing a BA with a concentration in Healthcare Management at the University of Phoenix starting in 2025.