Summary
Overview
Work History
Education
Skills
Timeline
Generic

Bucika Stewart

Memphis

Summary

Detail-driven Healthcare Support Specialist with extensive experience in referral processing, claims adjudication, care management support, provider enrollment, and high-volume customer service. Proven ability to collect and document data with precision, ensure regulatory compliance, manage complex inquiries, and maintain accurate records across multiple systems. Recognized for delivering seamless coordination of patient services, efficient workflow execution, and exceptional client communication. Committed to promoting continuity of care, operational accuracy, and quality healthcare outcomes.

Overview

14
14
years of professional experience

Work History

Taxpayer Services Agent

Internal Revenue Service, IRS
08.2022 - Current
  • Educated taxpayers on available payment options and helped them establish suitable payment plans based on their financial situations.
  • Resolved complex tax issues by researching regulations and collaborating with internal departments.
  • Processed taxpayer requests efficiently, ensuring compliance with federal guidelines and deadlines.
  • Implemented process improvements that streamlined workflows and increased response times for taxpayer queries.

Customer Service Specialist

Modest Cleaning
02.2012 - 04.2022

• Handled customer inquiries via phone, email, and chat with professionalism and empathy while adhering to workflow priorities.

• Interpreted customer concerns, researched account details, and provided accurate resolutions using multiple platforms.

• Maintained detailed account notes and contributed to enhanced customer satisfaction through clear communication and timely follow-through.

• Demonstrated strong multitasking skills while working within fast-paced, metrics-driven environments.

Claims Examiner & Healthcare Claims Processor

Sitel
07.2018 - 10.2019
  • Processed and adjudicated medical claims with varying levels of complexity, ensuring timely and accurate resolution.

• Conducted claims research, verified benefits, and identified discrepancies to ensure compliance with payer and policy requirements.

• Utilized multiple systems to review documentation, validate coding, and maintain accurate member records.

• Delivered high-quality support by troubleshooting claim issues and escalating cases when necessary.

Coordinated enrollment for employed and contracted healthcare providers, ensuring timely activation with payers, facilities, and regulatory entities.

• Verified and maintained credentialing data to support accurate reimbursement and uninterrupted patient care.

• Played a key role in onboarding rounding providers, ensuring all enrollment components were completed efficiently.

• Monitored compliance requirements, performed data audits, and managed deadlines to prevent delays in provider billing.

Healthcare Support & E-Referral Specialist

Sitel
03.2018 - 07.2018
  • Served as the initial point of contact for clients and referral sources, promoting continuity of care through timely and accurate referral intake.

• Collected, entered, and documented referral data with a high degree of accuracy, ensuring compliance with internal, state, and federal guidelines.

• Maintained consistent follow-up on referral decisions, communicating updates clearly and professionally.

• Partnered with clinical teams to streamline onboarding and improve the overall referral workflow.

Education

High School Diploma -

Texas Success Academy
Arlington,TX

Skills

  • EMR/EHR Systems
  • Claims Processing Platforms

    Provider Enrollment Databases

    Microsoft Office Suite

    CRM & Call Center Software

    Data Entry & Documentation Tools

Timeline

Taxpayer Services Agent

Internal Revenue Service, IRS
08.2022 - Current

Claims Examiner & Healthcare Claims Processor

Sitel
07.2018 - 10.2019

Healthcare Support & E-Referral Specialist

Sitel
03.2018 - 07.2018

Customer Service Specialist

Modest Cleaning
02.2012 - 04.2022

High School Diploma -

Texas Success Academy