ANDREA GALLOWAY
VILLA RICA,GA
Summary
Dedicated and customer service-oriented individual with defined skills in providing exceptional services in healthcare settings. A pleasant person who has an inherent ability to get along with people owing to a helpful attitude.
Overview
17
17
years of professional experience
Work History
Claims Examiner II
Delta Dental
Alpharetta , GA
12.2022 - 05.2024
- Performed data entry into the computer system to record information regarding claim status.
- Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.
- Assessed accuracy of claim payments by comparing submitted bills to benefit allowance guidelines.
Interim Coordinator
Delta Dental
Alpharetta , GA
07.2021 - 12.2022
- Coordinate and oversee all office activities
- Ensure adherence to relevant company procedures and policies
- Manage phone calls and correspondence (e-mail, letters, packages etc.)
Customer Service Representative II
Delta Dental
Alpharetta, GA
01.2018 - 07.2021
- Assist members locate dentists in the area
- Processing payments for premiums due
- Provide benefits and eligibility information to members
- Process service forms to correct departments when a job requires further investigation
- Make sure all members have a clear understanding of claims and Explanation of Benefits
- One call resolutions while assisting members over the phone
- Check and provide the status of members' accounts.
Customer Service Representative
CIOX Health
Alpharetta, GA
04.2016 - 09.2017
- Providing status updates of medical records to retrieval companies
- Handling medical records to release from healthcare facilities
- Communicating with clients via email and call in-take
- Release of Information to clients while providing accurate status information
- Assist with high severity requests or issue escalations as needed.
Insurance Verification Specialist/Scheduling Coordinator
Pamel Vision and Laser Group
NY, NY
08.2015 - 02.2016
- Verifying insurance is effective and active
- Handling medical records to be released at patients request
- Scheduling appointments for patients via telephone
- Meeting with doctors to coordinate schedules for onboarding patients
- Telephone in-take
- Clerical office work.
WebCSR
Benson Integrated Marketing Solutions
Alpharetta, GA
01.2014 - 06.2015
- Fulfilling online orders/Tracking online orders
- Assist clients with processing orders via web
- Proofing of art work before sending to production
- Taking inbound calls to assist with the completion of an order
- Heavy email contact with clients to correspond with accurate status of processed orders
- Help Support any questions or concerns clients both internal/extremal may have.
Reservation Sales Agent
Alcatraz Media
Sandy Springs, GA
06.2012 - 11.2013
- Assist customers w/online booking
- Assist customers w/telephone booking
- Web Liaison
- Help/Support any questions or concerns customers may have
- Clerical work included, faxing, emailing.
Scheduling Coordinator
H.C.A.S Inc.
Bellmore, NY
09.2011 - 03.2012
- Scheduling on-call staff (Doctors or Nurses) to be on/call for Urgent/Emergency calls
- Dispatched emergency/urgent calls to on-call staff
- Help Desk/Support
- Take accurate messages from clients and patients in need of care.
Customer Service Rep
AnswerCall LTD
Oceanside, NY
09.2009 - 08.2011
- Medical Answering service for doctors, hospitals, nurses, doctors, and HVAC
- Answering calls within the call center environment
- Taking accurate messages and dispatching to on-call staff in a timely manner
- Clerical work which included- Appointment setting, emailing, faxing...etc.
Telephone Operator
H.C.A.S Inc
Bellmore, NY
05.2007 - 08.2009
- Medical Answering service for doctors, hospitals, nurses, doctors, and HVAC
- Answering calls within the call center environment
- Taking accurate messages and dispatching to on-call staff in a timely manner
- Clerical work which included- Appointment setting, emailing, faxing.
Education
BA - Business Management
Strayer University
06.2024
Certification - Medical/Administrative Assistant
Hunter Business School
01.2011
General Equivalency Diploma -
LaGuardia Community College
01.2010
Associate of Science - Nursing
Georgia Highlands College
Rome, GASkills
- Call Handling
- Level 3 Support
- Claims Follow-up
- Patient Scheduling
- Patient Education
- Patient Registration
- Specialists Connection
- Rapport Building
- Data Verification
- Claims Processing
- Team Collaboration
References Available
True
Additional Core Competencies
10 Years of commended performance in key customer service and Support Roles. Expertise in customer care/communication, problem solving, relationship building and user training and support. MS Office: Word, Excel, Access and Outlook
Timeline
Claims Examiner II
Delta Dental
12.2022 - 05.2024
Interim Coordinator
Delta Dental
07.2021 - 12.2022
Customer Service Representative II
Delta Dental
01.2018 - 07.2021
Customer Service Representative
CIOX Health
04.2016 - 09.2017
Insurance Verification Specialist/Scheduling Coordinator
Pamel Vision and Laser Group
08.2015 - 02.2016
WebCSR
Benson Integrated Marketing Solutions
01.2014 - 06.2015
Reservation Sales Agent
Alcatraz Media
06.2012 - 11.2013
Scheduling Coordinator
H.C.A.S Inc.
09.2011 - 03.2012
Customer Service Rep
AnswerCall LTD
09.2009 - 08.2011
Telephone Operator
H.C.A.S Inc
05.2007 - 08.2009
BA - Business Management
Strayer University
Certification - Medical/Administrative Assistant
Hunter Business School
General Equivalency Diploma -
LaGuardia Community College
Associate of Science - Nursing
Georgia Highlands College