Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
10
10
years of professional experience
Work History
Claims Associate II
National General Insurance Company
09.2021 - 02.2025
Manage approximately 30 inbound calls, effectively and efficiently, in a complex, fast-paced and challenging call center environment.
Facilitate clear and concise communication with both internal and external customers to ascertain and address their needs promptly
Adhere to established protocols for each claim report or inquiry, ensuring accurate and timely documentation across various systems
Mentor new hires as they navigate our systems and protocols, fostering teamwork within the call center.
Records Retrieval Agent III
Cotiviti
04.2019 - 07.2021
Facilitated the retrieval of approximately 20 assigned groups of medical records by initiating and maintaining communication with healthcare provider offices, ensuring adherence to priority work allocations
Collaborated with healthcare providers to determine and coordinate the most effective methods of medical record retrieval
Delivered precise and prompt updates to clients regarding the status of medical record collections, maintaining a high standard of professionalism and client service.
Developed efficient filing system to retrieve records quickly.
Benefit Verification Specialist
AmerisourceBergen
11.2018 - 03.2019
Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
Assessed and documented patient insurance benefits, ensuring accurate capture of coverage details, cost-sharing specifics, and provider options across multiple payer plan.
Identified coverage restrictions to facilitate expedited patient access.
Customer Lending Representative
loanDepot
08.2017 - 10.2018
Established and maintained strong relationships by providing top-tier customer service, ensuring precise verification of consumer information submitted via online platforms
Assisted clients in identifying their financial goals and objectives to tailor solutions that align with their needs.
Learned and utilized upselling techniques to encourage customers to make additional purchases and increase sales.
Customer Service Representative
Mastec Advanced Technologies
08.2016 - 07.2017
Resolved customer inquiries, ensuring accurate and efficient communication while documenting interactions to maintain a comprehensive record of requests, issues, and outcomes
Coordinated technician dispatches and managed appointment scheduling tailored to customer requirements, contributing to enhanced service satisfaction.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
TMS Transit Specialist
TAPS
09.2014 - 11.2015
Enhanced customer satisfaction by providing comprehensive information on services and promotions, coupled with active engagement and proficient interpersonal communication
Managed client relations by serving as the primary point of contact, delivering accurate route information and tailoring ride schedules to individual customer requirements
Addressed and resolved customer and public complaints through attentive listening and effective problem-solving techniques.
Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
Education
Certificate - Medical Billing And Coding
Grayson College
Denison, TX
05.2025
Cerificate - Medical Administrative Assistant
Grayson College
Denison, TX
05-2025
Skills
Microsoft Office Expertise
Strong Organizational Skills
Data Entry
Attention to detail
65 WPM Typing Speed
Medical terminology
CPT coding
ICD-10 coding
Timeline
Claims Associate II
National General Insurance Company
09.2021 - 02.2025
Records Retrieval Agent III
Cotiviti
04.2019 - 07.2021
Benefit Verification Specialist
AmerisourceBergen
11.2018 - 03.2019
Customer Lending Representative
loanDepot
08.2017 - 10.2018
Customer Service Representative
Mastec Advanced Technologies
08.2016 - 07.2017
TMS Transit Specialist
TAPS
09.2014 - 11.2015
Certificate - Medical Billing And Coding
Grayson College
Cerificate - Medical Administrative Assistant
Grayson College
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