Breosha Rice
Moore,USA
Summary
Compassionate and detail-oriented Healthcare Professional with5 years of experience in patient care, specializing in geriatrics. Skilled in administering medications, monitoring vital signs, and providing emotional support to patients and their families.
Professional scheduling expert, bringing valuable experience in coordinating and optimizing workflows. Proven ability to streamline processes and enhance efficiency through detailed planning and precise execution. Known for strong team collaboration and adaptability, excelling in dynamic environments with focus on achieving results.
Dedicated to offering exceptional assistance to team members and clients. Skilled at coordinating appointments, organizing mail, and collecting messages to facilitate office communication. Positive and upbeat with strong relationship-building abilities.
Professional with robust background in scheduling and coordination, skilled in optimizing workflows and ensuring efficient resource allocation. Strong focus on team collaboration and achieving results, adaptable to changing needs. Expertise in time management, communication, and conflict resolution, making reliable asset in fast-paced environments. Known for maintaining high standards and delivering consistent, impactful outcomes.
Developed skills in fast-paced environment, including effective communication, time management, and resource allocation. Seeking to transition into new field where these skills can be leveraged to drive efficiency and productivity. Focused on delivering results through strategic planning and coordination.
Overview
7
7
years of professional experience
Work History
SCHEDULER/PATIENT SERVICE REPRESENTATIVE
PRISMA HEALTH
02.2019 - Current
- Greeted and registered patients, ensuring accurate and complete demographic and insurance information
- Scheduled appointments, coordinated with healthcare providers and patients to maintain an organized and efficient schedule
- Answered incoming phone calls and addressed inquiries or redirected as needed, providing exceptional customer service
- Verified insurance coverage and obtained authorizations for medical procedures, ensuring proper billing and reimbursement
- Assisted with patient check-out, collecting payments and providing necessary instructions for follow-up appointments or procedures
- Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
- Consistently met deadlines by effectively allocating resources, tracking progress, and making necessary adjustments to schedules as needed.
- Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
- Improved overall workflow efficiency by collaborating with team leads to identify bottlenecks, establish priorities, and develop solutions for process improvement.
- Adapted scheduling methods to fit unique demands of diverse projects, demonstrating flexibility and innovative thinking.
- Coordinated with multiple departments to ensure seamless project execution, reducing delays and increasing efficiency.
Medical Claims Processor
CONCENTRIX
12.2021 - 02.2023
- Provided excellent customer service as a Concentrix representative, answering inquiries and resolving issues through phone, email, and chat channels
- Utilized strong problem-solving skills to address customer concerns and ensure a high level of customer satisfaction
- Developed in-depth product knowledge to effectively troubleshoot technical problems and provide accurate information to customers
- Utilized various CRM systems to track and document customer interactions and provide accurate and timely responses to inquiries
- Reviewed medical records and insurance policies to determine coverage and eligibility of claims
- Processed and analyzed healthcare claims submitted by patients and healthcare providers, verifying accuracy and completeness of information
- Collaborated with healthcare professionals and insurance companies to resolve claim issues and ensure timely payment
- Conducted investigations and audits to identify and prevent fraudulent activities and billing errors
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Researched and resolved complex medical claims issues to support timely processing.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Monitored and updated claims status in claims processing system.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Reviewed provider coding information to report services and verify correctness.
- Collaborated with healthcare providers to ensure accurate billing information was submitted, resulting in fewer denied or delayed payments.
- Responded to correspondence from insurance companies.
BANKING SPECIALIST/CSR
TD BANK
03.2018 - 12.2021
- Assisted customers with various banking inquiries, including account balances, transactions, and product information
- Conducted account maintenance tasks, such as opening new accounts, updating customer information, and ordering debit cards
- Provided exceptional customer service by resolving any issues or complaints in a timely and professional manner
- Offered guidance and recommendations on banking products and services to meet the unique needs of individual customers
- Supported the sales team by identifying cross-selling opportunities and promoting additional banking products to customers
Education
CERTIFICATE - CCMA
CAPSTONE CAREER AND DEVELOPMENT
GREENVILLE, SC04.2019
HIGH SCHOOL DIPLOMA - undefined
JAMES F BYRNES HIGH SCHOOL
DUNCAN, SC05.2015
Skills
- Team player
- Adaptability
- Active Listening
- Flexibility
- Leadership
- Management skills
- Attention to Details
- Computer skills
- Attention to detail
- Data entry
- Strong work ethic
- Customer service
- Critical thinking
- Teamwork and collaboration
- Effective multitasking
- Schedule coordination
- Schedule management
- Problem-solving
- Telephone etiquette
- Medical terminology
- Staff coordination
- Call management
- Patient scheduling
- Microsoft Office Suite
- Payroll processing
- Key relationship development
- Timesheet management
- Order processing
- Documentation proficiency
- Inventory tracking
- Document management
- Workflow optimization
- Client relations
- Recordkeeping expertise
- Invoice submission
- Calendar management
- Call schedule distribution
- Production scheduling
- Insurance verification
- Recordkeeping proficiency
- Documentation expertise
- Account management
- Meeting scheduling
- Patient registration
- Excellent communication
- Strong problem solver
- Documentation and recordkeeping
- Professional and mature
- Administrative support
- Multi-line phone proficiency
- Administrative background
- Excel spreadsheets
- Database maintenance
Timeline
Medical Claims Processor
CONCENTRIX
12.2021 - 02.2023
SCHEDULER/PATIENT SERVICE REPRESENTATIVE
PRISMA HEALTH
02.2019 - Current
BANKING SPECIALIST/CSR
TD BANK
03.2018 - 12.2021
CERTIFICATE - CCMA
CAPSTONE CAREER AND DEVELOPMENT
HIGH SCHOOL DIPLOMA - undefined
JAMES F BYRNES HIGH SCHOOL
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