Carlie McRae
Susanville,CA
Summary
Professional with a proven track record in healthcare and event management, notably at Aetna Healthcare. Excelled in fostering strategic business relationships and enhancing customer satisfaction through effective communication and conflict resolution. Skilled in health plan operations and adept at multitasking, consistently improving provider relations and event experiences.
Overview
10
10
years of professional experience
Work History
Provider Relations Specialist
Aetna Healthcare
02.2023 - 12.2023
- Answered provider inquiries via email, telephone and written correspondence.
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Contributed to and enhanced audit processes to maximize quality management standards.
- Researched and resolved disputes, billing discrepancies, and claims efficiently to maintain customer satisfaction.
- Played a key role in resolving complex billing issues between providers and payers.
- Improved provider satisfaction by addressing concerns promptly and effectively.
- Utilized multiple healthcare software systems to support providers.
Event Ambassador
TopGolf
07.2016 - 02.2018
- Efficiently managed crowd control measures in high-traffic areas of events, enhancing overall attendee experience.
- Developed strong relationships with attendees by engaging in meaningful conversations and providing personalized assistance when needed.
- Coordinated VIP guest services including transportation arrangements or special accommodations requests.
- Assisted in coordinating logistics for events, including venue selection, catering arrangements, and audiovisual equipment setup.
- Provided timely feedback to event management team regarding potential improvements, leading to enhanced future events.
- Monitored event spaces for cleanliness, safety, and accessibility throughout the duration of each event.
- Brainstormed and implemented creative event concepts and themes.
- Maximized customer service and satisfaction by providing directions to visitors regarding requested locations, events and landmarks.
Customer Service Representative
Golfland Sunsplash
06.2014 - 08.2016
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Monitored cash drawers in multiple checkout stations and maintained adequate cash supply.
Education
Currently Attending - Nursing
Lassen Community College
Sacramento, CA12-2028
Associate of Science - Social Sciences
American River College
Sacramento, CA05-2018
Skills
- Health plan operations
- Strategic business relationships
- Healthcare industry
- Member enrollment
- Policy interpretation
- Teamwork and collaboration
- Time management
- Multitasking skills
- Effective communication
- Conflict resolution
- Critical thinking
- Active listening
Languages
English
Native or Bilingual
Timeline
Provider Relations Specialist
Aetna Healthcare
02.2023 - 12.2023
Event Ambassador
TopGolf
07.2016 - 02.2018
Customer Service Representative
Golfland Sunsplash
06.2014 - 08.2016
Currently Attending - Nursing
Lassen Community College
Associate of Science - Social Sciences
American River College
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