Bernice Heyward
Sheridan ,AR
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
4
4
years of professional experience
Work History
Billing/Enrollment Specialist
CVS Health
11.2022 - Current
- Processes accurate and timely eligibility into Aetna Systems utilizing Aetna policy guidelines in accordance with key performance measures.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Executed billing tasks and recorded information in company databases.
- Generated monthly invoices for customers in multiple formats to provide transparency.
- Identified payment trends and adjusted billing processes accordingly to retain customers.
Customer Service Representative
CVS Health, Aetna
05.2021 - 11.2022
- Operated multiple avenues of communication in a timely manner to provide accurate information regarding policy and coverage related questions
- Performed review of member claim history to ensure accurate tracking of benefit maximums, coinsurance, and deductibles
- Assisted healthcare providers with prior authorization status.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
Human Services Specialist II
SC Department, Human Service
04.2019 - 04.2021
- Effectively completed all designated Medicaid eligibility determinations, reviews, and changes for the Aged, Blind, and Disabled.
- Adhered to the agency’s policies and procedures for the analysis of applications.
- Prepared documents for review and completion by service applicants, supporting completion and responding to questions.
- Utilized complex client management systems, both digital and manual and maintained sensitive information in highly encrypted databases.
Education
Bachelors of Business - Human Resources Management
Grantham University
06.2025
Skills
- Records Organization and Review
- Organizational Management
- Electronic Document Management System
- Accounting and Financial Management
- Invoicing Proficiency
Timeline
Billing/Enrollment Specialist
CVS Health
11.2022 - Current
Customer Service Representative
CVS Health, Aetna
05.2021 - 11.2022
Human Services Specialist II
SC Department, Human Service
04.2019 - 04.2021
Bachelors of Business - Human Resources Management
Grantham University
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