Camille Morris
Katy
Summary
Dynamic Operations Associate at Alma with a strong background in optimizing healthcare processes and enhancing customer relations. Skilled in HIPAA compliance and conflict resolution, I effectively navigated complex billing inquiries, improving provider satisfaction. Passionate about leveraging critical thinking to drive operational excellence and support patient care initiatives.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Operations Associate
Alma
12.2023 - Current
- Optimize healthcare operations by leveraging a robust understanding of medical billing, plan benefits, and patient responsibilities, ensuring efficient processing and adaptability to shifting priorities; foster a collaborative environment through effective communication via chat, email, and phone.
- Optimized verification, claims, and customer experience workflows by utilizing cross-functional experiences from PI, CX, and CAT. This help to enhanced the accuracy of service and product details.
Data Analyst
Consilio
03.2020 - 12.2023
- Analyze a diverse range of legal electronic documents to identify key issues, ensuring precise coding for review and compliance.
- Perform quality control checks on peer-reviewed documents to uphold accuracy and client satisfaction levels.
- Contribute to commercial banking compliance risk management initiatives, focusing on document review, redaction, and privilege log preparation.
Resource Teacher
FBISD Jones ES
Houston
07.2020 - 05.2023
- Design and deliver customized instructional strategies to advance student academic performance and cognitive growth
- Integrate digital learning tools to supplement and enrich the traditional educational experience
- Employ classroom management practices that support a productive and focused learning atmosphere
Provider Service Representative
CIGNA
Houston
12.2019 - 07.2020
- Resolved provider inquiries and discrepancies by collaborating with network operations, ensuring data accuracy and adherence to Medicare guidelines
- Interpreted and communicated complex Medicare regulations to healthcare providers and internal stakeholders, fostering clear understanding and compliance
- Employed a suite of system tools to address and rectify provider concerns, enhancing customer satisfaction through effective problem resolution and negotiation
Special Education Teacher Assistant
Metro RESA
Smyrna
08.2018 - 06.2019
- Developed and implemented behavioral plans to address the needs of students with emotional and behavioral challenges, utilizing data and historical insights to tailor interventions
- Facilitated targeted small group and one-on-one educational activities, adapting to diverse learning requirements to promote academic growth
- Maintained comprehensive records of student progress and behavior, contributing to the formulation of Individualized Education Programs (IEPs) and behavioral assessments
Manager
FISERV
Lake Mary
08.2017 - 08.2018
- Developed HR policies and procedures in collaboration with senior management to enhance the efficiency and compliance of the temporary workforce
- Conducted comprehensive quality assurance evaluations, ensuring high performance standards among call center agents, and authored a training manual for GMF/USB quoting procedures
- Streamlined operational costs by overseeing extension requests and collaborated with internal auditors to address regulatory issues, upholding company compliance standards
Risk Management Coordinator
Orange County Public School
Orlando
08.2015 - 06.2016
- Formulated and enforced risk management strategies, ensuring alignment with safety regulations and facilitating the integration of safety protocols during event planning
- Served as a key contact for legal counsel, insurance entities, and stakeholders, managing the collection and protection of essential evidence and compliance documentation
CSR Rep. QC Coach and TCR1 Rep.
GEICO Insurance
Woodbury
03.2013 - 09.2014
- Evaluated and streamlined team workflows, delegating responsibilities effectively to ensure efficient transitions, and optimal agent performance.
- Conducted comprehensive quality audits, and provided targeted coaching on direct handling procedures, enhancing procedural adherence and claims management effectiveness.
- Exceeded established service goals while leveraging customer service, sales and employee management best practices.
- Analyzed customer feedback data to identify areas of improvement.
- Researched complex customer issues to find solutions.
Case Manager
American Arbitration Association
Atlanta
08.2007 - 11.2012
- Managed effective communication channels, addressing inquiries, and resolving concerns to ensure customer satisfaction.
- Developed and maintained neutral lists tailored to specific dispute scenarios, streamlining the case preparation process.
- Facilitated preliminary hearings, coordinating between parties, and legal representatives to advance case proceedings.
- Coordinated activities aimed at enhancing interaction between arbitrators and case managers.
Education
Bachelor of Arts - Communication and Culture
CUNY School for Professional Studies
New YorkMBA - Business/HR Management
Keller Graduate School of Management
AlpharettaSkills
- Classroom Management
- Online Learning Platforms
- Quality Control
- Customer Relations
- Negotiation
- Conflict Resolution
- HIPAA Compliance
- ICD10 Coding
- Microsoft Office
- Critical Thinking
- Relativity
- Citrix
- Insurance Policy Knowledge
- Claims Processing
Certification
Sped Certifications, Instructional Practice Team, 2020
Timeline
Operations Associate
Alma
12.2023 - Current
Resource Teacher
FBISD Jones ES
07.2020 - 05.2023
Data Analyst
Consilio
03.2020 - 12.2023
Provider Service Representative
CIGNA
12.2019 - 07.2020
Special Education Teacher Assistant
Metro RESA
08.2018 - 06.2019
Manager
FISERV
08.2017 - 08.2018
Risk Management Coordinator
Orange County Public School
08.2015 - 06.2016
CSR Rep. QC Coach and TCR1 Rep.
GEICO Insurance
03.2013 - 09.2014
Case Manager
American Arbitration Association
08.2007 - 11.2012
Bachelor of Arts - Communication and Culture
CUNY School for Professional Studies
MBA - Business/HR Management
Keller Graduate School of Management
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