Alaysia Z. Ready
Pearland,TX
Summary
Dynamic healthcare professional with extensive experience at Memorial Hermann Healthcare System, excelling in claims investigation and customer service. Proven ability to streamline operations and enhance patient satisfaction while maintaining HIPAA compliance. Proficient in medical billing software and adept at managing high-volume communications, ensuring prompt resolution of complex issues.
Overview
7
7
years of professional experience
Work History
Healthcare Customer Service Representative
Memorial Hermann Healthcare System
Houston, TX
01.2023 - Current
- Delivered outstanding customer service to patients by addressing concerns related to insurance claims and billing issues.
- Oversaw and streamlined diverse clinical and non-clinical services to enhance operational effectiveness.
- Provided exceptional customer service by addressing concerns, answering questions , and ensuring patient satisfaction with their care experience.
- Maintained strict adherence to HIPAA guidelines while managing confidential patient data.
- Managed 200+ incoming calls from patients and other healthcare facilities to provide information or schedule services.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
Dialysis Technician
DaVita Kidney Care
Pearland, TX
11.2021 - 12.2022
- Operated dialysis machines and monitored patients during treatments , ensuring safety and comfort through.
- Educated patients on in clinic and home care instructions post treatment, including diet restrictions, and medication schedules
- Assisted in training new technicians and staff on equipment operation and patient care techniques.
- Conducted research to increased knowledge about medical issues
- Handled patient concerns, questions, and scheduling issues , ensuring high levels of customer service.
Patient Care Technician
Memorial Hermann Healthcare Systems
Houston, TX
09.2021 - 12.2022
- Delivered hands-on assistance in diverse patient care tasks, ensuring compliance with professional oversight.
- Recorded patient vital signs and alerted nursing staff or physicians to any significant changes.
- Safeguard patient privacy with strict adherence to HIPPA protocols
- Administered procedures such as electrocardiograms, glucose monitoring and phlebotomy according to hospital standards.
- Transported patients throughout the hospital using wheelchairs and gurneys for various tests.
- Offered solutions to patients concerns, ensuring a positive and empathetic experience.
Medical Claim Specialist
Stay Ready Enterprises
Denton, Remote
06.2018 - 06.2021
- Verified patient eligibility and benefits for Medicare coverage , ensuring the correct application of benefits.
- Maintained detailed records of claims processing and patient account status in accordance with HIPPA regulations.
- Documented all interactions in a CRM system , maintaining accurate customer records.
- Communicated with patients and healthcare providers to clarify billing issues and payment disputed.
- Applied correct coding for medical diagnoses, treatments, and procedures
Education
Bachelors of Health Studies -
Texas Southern University
Houston, Texas05.2020
Associates of General Studies -
Trinity Valley Community College
Athens, Texas05.2018
Skills
- Claims Investigation
- ICD-10 Proficiency
- Medical Billing Software
- Time Manangment
- Data Entry and Analysis
- Insurance Verification
- Customer Service
- Typing Proficiency 55 2pm
- Inbound and Outbound Calling
- Microsoft Office
- Claims Processing
- HIPPA Compliance Knowledge
Timeline
Healthcare Customer Service Representative
Memorial Hermann Healthcare System
01.2023 - Current
Dialysis Technician
DaVita Kidney Care
11.2021 - 12.2022
Patient Care Technician
Memorial Hermann Healthcare Systems
09.2021 - 12.2022
Medical Claim Specialist
Stay Ready Enterprises
06.2018 - 06.2021
Bachelors of Health Studies -
Texas Southern University
Associates of General Studies -
Trinity Valley Community College
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