Belinda Campbell
Midland,GA
Summary
Organized and dedicated Administrative Assistant with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
15
15
years of professional experience
Work History
Claims Specialist
Aflac
02.2020 - 04.2022
- Reviews accident claims to include processing claims; paying, denying, and spending of a claim based on the information submitted to review
- Analyze billing and supporting medical documents while using core administrative systems and subsystems to determine the nature and validity of a claim
- Communicate with clients and other parties to the claim via telephone, email, and mail correspondence for claims determination
- Evaluates data for quality and completeness
- Performs other professional responsibilities as assigned by supervisor.
Risk Adjustment Project Coordinator I
Centene Corporation
02.2018 - 06.2019
- Responsible for participating and or overseeing members on assigned projects to provide support and ensure effective collaboration of efforts to complete tasks in a timely manner
- Served as P.O.C ( Point of Contact)
- Formed inquiries regarding project plans, tasks, deliverables, status, processes, policies, and presentations
- Communicated project details to proactively identify opportunities and initiate change/enhancements to projects
- Collaborated with vendors, providers, members, and inter-departmental staff on risk adjustment initiatives
- Assisted members with re-enrolment and scheduled visits with their provider as needed
- Attended status and other meetings related to assigned project
- Processed Release of Information (ROI), specifically medical record requests in a timely and efficient matter, ensuring accuracy and individual metrics are met
- Downloaded members medical records using the hospitals electronic medical record (EMR) systems to have coded for risk adjustment measures.
Customer Service Representative/Provider Service Representative
Centene Corporation
02.2017 - 02.2018
- As a customer service/ member service rep I am responsible responding to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
- Provided assistance to members and/or providers regarding website registration and navigation
- Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
- Process written customer correspondence and provide the appropriate level of timely follow up
- Assist members in coordinating transportation and make referrals to other departments as appropriate
- Maintain performance and quality standards based on established call center metrics including turnaround times
- As a Provider Service Rep in addition to my duties as a member service rep, I also provide complete and accurate information to providers by referencing current materials to answer escalated and complex inquiries, I research and identify processing inaccuracies in claim payments, I also work with other departments on different task to get the provider the most accurate information available.
Customer Service Representative
HealthCare Support Staffing
10.2016 - 02.2017
- As a customer service/ member service rep I am responsible for responding to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current reference materials and available resources
- Provide assistance to members and/or providers regarding website registration and navigation
- Document all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application
- Process written customer correspondence and provide the appropriate level of timely follow up
- Assist members in coordinating transportation and make referrals to other departments as appropriate
- Maintain performance and quality standards based on established call center metrics including turnaround times
Appointment Scheduler
Signature Performance
09.2015 - 05.2016
- Answered calls on multiline phone to schedule patient appointment in an incoming call center, displaying superb phone etiquette
- Assisted patients in getting the best/ fastest possible appointment based on their current needs
- Verified patient's medical insurance, placed electronic messages to providers when appointments weren't readily available
- Conducted HIPAA training, customer service training, and I am proficient in computer-based programs necessary to complete tasking.
Administrative Assistant
Central Carolina Technical College
07.2014 - 09.2015
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Executed record filing system to improve document organization and management.
- Scheduled office meetings and client appointments for staff teams.
- Sorted and distributed office mail and recorded incoming shipments for corporate records.
Substitute Teacher
Sumter School District
08.2013 - 06.2014
- Fulfill both short- and long-term substitute assignments across all subject areas, effectively teaching students of varied academic/age levels (grades K-12) and diverse cultural backgrounds
- Instruct classes of as many as 24 students; communicate with teachers, administrators and parents; and build a positive rapport with students
- Key Contributions & Educational Outcomes:
- Consistently praised for dedication, reliability, organization and effectiveness as one of school district's most in-demand substitutes
- Filled in for permanent teachers at a moment's notice; closely adhered to lesson plans; and kept students motivated, engaged and focused
- Repeatedly selected as a long-term substitute for teachers on maternity or extended medical leave.
Birth and Legal Clerk
Army, Bayne Jones Army Medical Center
10.2010 - 10.2012
- Counseled over 1,200 new parents on the procedure of the birth certificate process
- Developed slides, graphs, and other documents to be used in quarterly presentations for 75-100 pregnant soldiers
- Created a Standard Operation Procedures (SOP) Manuel detailing every aspect of my position for the incumbent personnel
- Performed miscellaneous clerical duties such as making copies, obtaining appropriate signatures, distributing documents, typing, maintaining files, answering phones, and answering inquiries based on knowledge of service.
Medical Records Technician
the Army-Schofield Health Clinic
06.2007 - 03.2010
- Maintained over 3,000 health records and outpatient treatment records in accordance with federal, state, and DOD regulations
- Maintained patient confidentiality and was responsible for protection and release of patient information
- Coordinated the transfer of over 5000 outpatient medical records to the Joint
- Commission Accredited Health Care Organization for retirement after two years of none use
- Successfully trained 4 new employees.
Education
Bachelors - Business Administration
American InterContinental University
2015
Associate of Arts - Business Administration
American Intercontinental University
2010
Skills
- Excel
- Project Management
- Outlook
- MS Office, Time management, project management
- Microsoft Office
- Scheduling
- Medical Office Experience (4 years)
- Multi-line Phone Systems
- Project Coordination
- Military Service
- Branch: United States Army
- Rank: E-4
Timeline
Claims Specialist
Aflac
02.2020 - 04.2022
Risk Adjustment Project Coordinator I
Centene Corporation
02.2018 - 06.2019
Customer Service Representative/Provider Service Representative
Centene Corporation
02.2017 - 02.2018
Customer Service Representative
HealthCare Support Staffing
10.2016 - 02.2017
Appointment Scheduler
Signature Performance
09.2015 - 05.2016
Administrative Assistant
Central Carolina Technical College
07.2014 - 09.2015
Substitute Teacher
Sumter School District
08.2013 - 06.2014
Birth and Legal Clerk
Army, Bayne Jones Army Medical Center
10.2010 - 10.2012
Medical Records Technician
the Army-Schofield Health Clinic
06.2007 - 03.2010
Bachelors - Business Administration
American InterContinental University
Associate of Arts - Business Administration
American Intercontinental University
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