Chandel M. Lindsey
Williamstown,NJ
Summary
Experienced healthcare provider and patient representative skilled in coordinating and facilitating medical needs. Adept at serving as a liaison between patients and providers. Demonstrated patience, understanding, and dedication to delivering exceptional service in fast-paced environments.
Overview
17
17
years of professional experience
Work History
Provider and Member Service Representative
AmeriHealth Caritas
, PA
05.2023 - Current
- Delivered high-standard customer service in addressing client questions and concerns regarding their insurance coverage and payments.
- Facilitated claims processing by efficiently communicating between provider, payer and third parties.
- Managed comprehensive logs of customer communications within company databases.
- Delivered member support for account inquiries, transaction processing, and issue resolution.
- Ensured submitted documentation was accurate before processing claims or services rendered.
- Promoted high customer satisfaction through problem resolution and delivery of knowledgeable, friendly service.
Medical Assistant
Advocare, LLC
, NJ
06.2014 - 04.2023
- Recorded comprehensive patient information including vital signs, health history, preparing patients for physician's rounds, thus ensuring quality medical attention.
- Assisted medical personnel with performing small surgical procedures.
- Prepared laboratory specimens for analysis and organized lab results for review by the physician.
- Recorded and organized medical information by filing, charting, transcribing, and entering data into the EHR system.
- Answered phones, scheduled appointments and managed patient flow while maintaining a professional demeanor.
- Executed essential lab procedures including urinalysis and blood glucose testing under the direct guidance of medical staff.
- Delivered directions about postoperative care plans, assisting with preparation for surgery and ensuring proper patient readiness.
A/R Medical Biller
Regional Women's Health Management
, NJ
02.2010 - 05.2014
- Reviewed patient insurance data to guarantee the accuracy and completion of claims submitted.
- Ensured accuracy of medical records through ICD-10 coding system validation.
- Compiled accurate billing records for clients
- Provided prompt resolution to concerns about billing issues through clear communication over the phone with patients, healthcare professionals or insurers.
- Researched billing and payment disparities for insurance providers.
- Performed daily reconciliation of accounts receivable by accurately matching payment postings on the computer system.
- Assisted with collection efforts as necessary in a professional and timely manner.
Medical/Clinical Assistant
Harris School of Business
03.2008 - 07.2009
Education
Medical/Clinical Assistant -
Harris School of Business
07.2009
Skills
- Data Entry
- EMR systems (Citrix, EPIC, ECW)
- Patient care assistance
- Patient medical history recording
- Payment collection
- Prior authorization verification
- Medical billing document review
- Telecommunications troubleshooting
- Payment processing
- Charge data entry
- Claims follow-up
- Claims Processing
- Database Management
Accomplishments
- Lead Medical Assistant
- A/R Medical Biller
- Trainer
References
References available upon request.
Timeline
Provider and Member Service Representative
AmeriHealth Caritas
05.2023 - Current
Medical Assistant
Advocare, LLC
06.2014 - 04.2023
A/R Medical Biller
Regional Women's Health Management
02.2010 - 05.2014
Medical/Clinical Assistant
Harris School of Business
03.2008 - 07.2009
Medical/Clinical Assistant -
Harris School of Business
Similar Profiles
Debra CaldwellDebra Caldwell
Independent Contractor – Member Services at AmeriHealth Caritas Pennsylvania - Medicaid & Keystone First – AmeriHealth Caritas Pennsylvania Community Health Choices – Keystone First Community Health ChoicesIndependent Contractor – Member Services at AmeriHealth Caritas Pennsylvania - Medicaid & Keystone First – AmeriHealth Caritas Pennsylvania Community Health Choices – Keystone First Community Health Choices
Timothy DetmanTimothy Detman
Manager, Business Systems Analysis at AmeriHealth CaritasManager, Business Systems Analysis at AmeriHealth Caritas
Tiesha ReidTiesha Reid
Personal Care Connector at AmeriHealth Caritas of DelawarePersonal Care Connector at AmeriHealth Caritas of Delaware
DAQUICE PEARSONDAQUICE PEARSON
Provider Enrollment Specialist at AmeriHealth CaritasProvider Enrollment Specialist at AmeriHealth Caritas
Kevin LawlorKevin Lawlor
Assistant General Manager at Burlington Stores Inc.Assistant General Manager at Burlington Stores Inc.