Brandi York
Cedar Hill,TX
Summary
Responsible and a dedicated business professional. Detailed oriented and energetic, recognized as quick learner with exceptional computer skills. Has strong work ethic and ability to manage several tasks in a stressful environment. Team player dedicated to delivering high level of customer service.
Overview
10
10
years of professional experience
Work History
Customer Engagement Representative
Texas Oncology
02.2025 - Current
- Provided excellent customer satisfaction through personalized engagement strategies and proactive communication.
- Delivered exceptional service for increased customer loyalty and repeat business.
- Mananged multiple priorities seamlessly while maintaining a strong focus on delivering outstanding results within tight deadlines.
- Resolved customer inquiries efficiently, enhancing satisfaction and loyalty.
HIM Specialist
Reunion Rehabilitation
01.2024 - Current
- Resolved any discrepancies found in the review process.
- Reviewed medical records for completeness and accuracy according to established guidelines.
- Collected, compiled and maintained statistical data on hospital utilization, beds occupied.
- Retrieved patient medical records in response to requests from authorized personnel.
- Reviewed patient charts for accuracy and completeness.
- Compiled discharge summaries for all discharged patients.
- Scanned paper records into digital format.
- Maintained a secure filing system for confidential documents.
Medical Records Clerk
MRO
11.2022 - Current
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
- Resolved customer complaints promptly and efficiently.
- Monitored insurance companies' websites for updates to policies or new guidelines applicable to authorizations processes.
- Assisted with chart preparation for upcoming appointments or surgeries.
- Answered inquiries regarding the status of patient records or their availability.
Customer Service Representative
United Healthcare Group
12.2019 - 08.2022
- Receive data from multiple inbound sources. High volume incoming out coming calls.
- Credentialing for all clinicians.
- Interpret instructions that accompany the inbound data.
- Prior Authorization knowledge for responsibilities in a highly structured environment.
- Insurance verification on patients and credentialing of physicians.
Customer Service Representative
Allstate Insurance
07.2015 - 09.2017
- Claim Services, Work Que of in coming documents.
- Find claim identify the correct claim.
- Log Claims into NexGen, Main Frame Systems.
- Identify Claims in different States.
- Able to identify W-9s in system.
- Work and Identify Sensitive Claims.
- Maintain compliance with Hippa.
- Administrative Duties as Required.
- Respond and Resolve Calls on first Calls.
- Educate Customer About Benefits.
- Assist Customers In Navigation IVR System.
- Medical Terminology.
- Perform premium breakdowns, electronically and/or manually calculate rates based on selected coverages.
Education
High School Diploma -
Desoto High School
DeSoto, TX05.1998
Skills
- Typing
- High Volume Data Entry
- Windows operating systems
- MS Word
- MS Excel
- PowerPoint
- PeopleSoft
- Kronos
- Strong organizational skills
- Ability to multitask
- Ability to read and interpret complex oral and written instructions
- Strong attention to Detail
- Administrative
- Attention to Detail
- Benefits
- Oral
- Data Entry
- Documentation
- Faxes
- Frame
- Insurance
- Medical Terminology
- Excel
- Office
- Navigation
- Organizational
- Policies
- Quality
- Read
- Research
- Scheduling
- Phone
- Heavy Customer Calls
- One Call Resolution
- Written
- Insurance information oversight
- People skills
- Troubleshooting
- Insurance Verification
- Document Scanning
- Medical record security
- Health Information Systems
- Medical Records Management
- Records audits
- Electronic Health Records Management
Timeline
Customer Engagement Representative
Texas Oncology
02.2025 - Current
HIM Specialist
Reunion Rehabilitation
01.2024 - Current
Medical Records Clerk
MRO
11.2022 - Current
Customer Service Representative
United Healthcare Group
12.2019 - 08.2022
Customer Service Representative
Allstate Insurance
07.2015 - 09.2017
High School Diploma -
Desoto High School