Emily Duke
Cleveland
Summary
Experienced with managing provider relations and addressing inquiries effectively. Utilizes communication and problem-solving skills to ensure seamless interactions between providers and healthcare organizations. Track record of enhancing provider satisfaction and operational efficiency through strategic initiatives.
Overview
8
8
years of professional experience
Work History
Provider Services Representative
Blue Cross And Blue Shield Of Tennessee
Chattanooga, TN
03.2024 - Current
- Resolved escalated provider issues by applying problem-solving skills and industry knowledge effectively.
- Facilitated communication between healthcare providers and internal teams to resolve inquiries efficiently.
- Assisted providers with claims processing and eligibility verification, ensuring timely responses.
- Collaborated with cross-functional teams to streamline workflows and improve provider satisfaction.
Store Manager
GameStop
Cleveland, TN
08.2018 - 12.2023
- Led store operations, ensuring compliance with company policies and procedures.
- Trained and mentored staff, enhancing team performance and customer service skills.
- Implemented inventory management systems, optimizing stock levels and reducing shrinkage.
- Analyzed sales data to identify trends, driving strategic product placement and promotions.
- Managed scheduling and payroll processes, maintaining operational efficiency within budget constraints.
Education
High School Diploma -
Bradley Central High School
Cleveland, TN04-2014
Skills
- Commercial and Host Trained
- Back Office and Research Trained
- HIPAA compliance
- Claims processing
- Goal-oriented mindset
- Call center experience
- Teamwork and collaboration
- Problem-solving
Timeline
Provider Services Representative
Blue Cross And Blue Shield Of Tennessee
03.2024 - Current
Store Manager
GameStop
08.2018 - 12.2023
High School Diploma -
Bradley Central High School