Summary
Overview
Work History
Education
Skills
Timeline
Generic

Roquella Preston

Chicago

Summary

Dedicated professional with five years of experience delivering high-quality client support in healthcare, housing, and financial sectors. Expertise in conflict resolution and benefits navigation, ensuring efficient service delivery while upholding privacy protocols. Seeking to leverage skills in a customer-facing role within a fast-paced, innovative organization.

Overview

10
10
years of professional experience

Work History

Member Resource Specialist

LHH Staffing SEIU Healthcare- Temp
Chicago
08.2025 - 05.2026
  • Served as the first point of contact for 50+ program participants requiring support with registration for annual Personal Assistant training, online systems, registration platforms, and account benefit-related inquiries.
  • Troubleshot member access issues and provided participants with portal access education and walkthrough guidance.
  • Provide empathetic and knowledgeable support.
  • Complied with account verification and privacy protocols and procedures.
  • Maintained accurate and thorough member account interaction details.

Customer Care Advocate

Blue Cross Blue Shield Medicaid
Chicago
08.2024 - 07.2025
  • Provided empathetic, high-volume phone support to 70+ Medicaid members and Providers with benefit, eligibility, and coverage inquiries.
  • Researched medical procedures and prior authorization requests/educated members about prior authorization approval processes.
  • Identified and defined member grievance issues and submitted a thorough and detailed written complaint and account of the situation on Medicaid recipients' behalf.
  • Researched and explained RX and claims decision inquiries to members and providers.
  • Collaborated with the plan pharmacist to help resolve RX payment and filling issues.
  • Comply with HIPAA guidelines and regulations.

Remittance Processor

City Staffing at JP Morgan Chase
Chicago
11.2023 - 05.2024
  • Processed 100+ financial payments and time-sensitive documents with precision under tight deadlines.
  • Entered and verified high-volume payment and account data.
  • Maintained the integrity of digital and physical records.
  • Supported multi-team workflows with attention to detail and adaptability.

Member Services Coordinator

Midwest Regional Carpenters Union-Temp
Chicago
07.2022 - 02.2023
  • Handled benefit enrollment, retiree health plans, and benefits coverage inquiries.
  • Assisted healthcare professionals and members with claims follow-ups.
  • Resolved union member issues related to account and payment portal access, provided password reset guidance, and account portal walkthrough assistance.
  • Maintained accurate documentation of service interactions and issue resolutions.

Benefits Support Specialist

Evolent Health
Chicago
05.2020 - 06.2021
  • Assisted members with authorization, payment issues, and plan coverage inquiries.
  • Maintained updated patient/provider demographic records.
  • Reconciled discrepancies in billing and coverage.

Residential Services Support

MAC Properties
Chicago
05.2018 - 05.2020
  • Supported tenant onboarding, move-ins/outs, and billing resolution.
  • Scheduled property showings and facilitated event coordination.
  • Served as liaison between residents and maintenance/administrative teams.
  • Collaborated with and dispatched maintenance personnel to resolve immediate and emergency tenant situations.

Eligibility Specialist

CFA Staffing (State Contract)
Merrillville
11.2016 - 02.2018
  • Performed income eligibility and compliance checks for applicants using state verification systems to ensure program integrity.
  • Conducted interviews and processed Medicaid, SNAP, and TANF applications to facilitate access to essential services.
  • Updated application findings in ICES system, issued case determination and approval notices.
  • Monitored adherence to case/application documentation compliance procedures to uphold regulatory standards.

Education

High School Diploma -

Hillcrest High School
Country Club Hills, IL
05-2000

Skills

  • Eligibility navigation
  • Healthcare
  • Claims support
  • HIPAA compliance
  • Client support
  • Customer service
  • Virtual support
  • Case Management
  • Attention to detail
  • Critical thinking
  • Conflict resolution
  • Customer Interaction

Timeline

Member Resource Specialist

LHH Staffing SEIU Healthcare- Temp
08.2025 - 05.2026

Customer Care Advocate

Blue Cross Blue Shield Medicaid
08.2024 - 07.2025

Remittance Processor

City Staffing at JP Morgan Chase
11.2023 - 05.2024

Member Services Coordinator

Midwest Regional Carpenters Union-Temp
07.2022 - 02.2023

Benefits Support Specialist

Evolent Health
05.2020 - 06.2021

Residential Services Support

MAC Properties
05.2018 - 05.2020

Eligibility Specialist

CFA Staffing (State Contract)
11.2016 - 02.2018

High School Diploma -

Hillcrest High School
Roquella Preston