BRITTANY TYSON
Atlanta,GA
Summary
Dynamic Customer Care Representative with a proven track record in enhancing patient access and claims processing through exceptional customer service and effective communication. Adept at navigating insurance portals and conducting eligibility verifications, ensuring timely and accurate scheduling of health assessments. Entering and processing claim data into the computerized claims adjudication system. Recognized for building strong professional relationships with providers and fostering collaboration in fast-paced environments. Committed to delivering solutions that improve operational efficiency and patient satisfaction.
Overview
12
12
years of professional experience
Work History
Resource Planning Associate Representative
CIGNA
05.2023 - Current
- Conduct outbound and inbound calls to schedule health risk assessments for members
- Perform detailed eligibility verification and navigate insurance portals efficiently
- Foster professional relationships with assigned providers to coordinate schedules and patient appointments
- Ensure accuracy and timeliness in scheduling and documentation
Patient Access Specialist/Medical Claims Processor
Amerisource Bergen
10.2022 - 03.2023
- Company Overview: US
- Verified insurance benefits and coverage for patients, addressing inquiries promptly
- Managed customer requests, providing clear information regarding services and account details
- Updated customer records and resolved concerns using established protocols
- Delivered exceptional customer service in a fast-paced remote environment
- Verifying and processing medical insurance claims to ensure proper billing and payments
- Confirming patient eligibility and benefits
- Resolving discrepancies and denials
- Maintaining accurate records
Assistant Manager
QuikTrip
05.2013 - 04.2021
- Oversaw daily operations, including scheduling, inventory management, and staff performance evaluation
- Acted as a liaison between upper management and staff, promoting seamless communication
- Implemented strategies to enhance customer satisfaction and streamline operations
- Trained team members in QuikTrip's 'fast and friendly' service model
Education
High School Diploma -
Booker T. Washington High School
05.2011
Skills
- Collaboration
- Cross-functional communication
- Solution-oriented
- Adaptability
- Computer skills
- Analytical/ Problem Solving
- Printer skills
- Telephone skills
- Fax machine skills
- Customer service
- Communication skills
- Organizational skills
- Time-management
- Eligibility verification
- Insurance portal navigation
- Organizational Skills
- Research Skills
Timeline
Resource Planning Associate Representative
CIGNA
05.2023 - Current
Patient Access Specialist/Medical Claims Processor
Amerisource Bergen
10.2022 - 03.2023
Assistant Manager
QuikTrip
05.2013 - 04.2021
High School Diploma -
Booker T. Washington High School
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