CHAKYIA POWELL
Lexington,MS
Summary
Detailed-oriented Medicare Customer Service Representative with 5+ years of experience in patient support, medical records management, and insurance verification. Adept at handling high-volume calls, assisting Medicare beneficiaries with claims, eligibility verification, and plan options. Proven ability to maintain 98% data accuracy, ensure HIPAA and Medicare compliance, and resolve complex insurance inquiries. Skilled in EHR systems, CMS guidelines, and Medicare claims processing while delivering exceptional customer service.
Overview
5
5
years of professional experience
Work History
Patient Services Representative
Cencora
12.2022 - 07.2024
- Managed Medicare and private insurance verifications, ensuring accurate eligibility and coverage assessments.
- Assisted patients with Medicare claims, billing inquires, and prior authorizations for healthcare services.
- Maintained 98% accuracy in data entry and compliance with Medicare and HIPAA regulations.
- Resolved Medicare-related coverage issues by coordinating with healthcare providers and insurance companies.
Data Entry Associate
First Source
11.2020 - 10.2022
- Processed and verified 200+ Medicare and private insurance claims weekly, ensuring data accuracy and compliance.
- Conducted quality checks to reduce discrepancies in Medicare beneficiary records.
- Organized and scanned electronic medical records while adhering to CMS documentation standards.
Healthcare Customer Service Representative
Carenet Health
05.2019 - 08.2020
- Handled 30+ outbound calls daily to assist Medicare beneficiaries with plan options, enrollment, and coverage details.
- Guided patients through Medicare Advantage and Supplement Plan processes, ensuring informed decision-making.
- Maintained 95% accuracy in updating Medicare-related electronic health records.
- Assisted in resolving Medicare claim disputes, billing issues, and benefit inquiries.
Education
High School Diploma -
Holmes County Central High School
Lexington, MSSkills
- Microsoft Office
- Word
- Excel
- Outlook
- Active Listening
- Verbal & Written Communication
- Customer Service Skills
- Multitasking & Time Management
- Patient Scheduling & Support
- Data Entry & EHR Management
- HIPAA Compliance & Patient Privacy
- Medicare Claims & Eligibility Verification
Timeline
Patient Services Representative
Cencora
12.2022 - 07.2024
Data Entry Associate
First Source
11.2020 - 10.2022
Healthcare Customer Service Representative
Carenet Health
05.2019 - 08.2020
High School Diploma -
Holmes County Central High School
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