Charlene Blount
Arlington,TX
Summary
Dynamic Enrollment Specialist with proven expertise in healthcare compliance and claims management. Recognized for enhancing enrollment workflows and ensuring data accuracy. A detail-oriented team player with strong problem-solving abilities, dedicated to delivering exceptional service and maintaining confidentiality in all patient interactions.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Enrollment Specialist I
SSI Group
Mobile, AL
03.2021 - 08.2025
- Maintained compliance with healthcare regulations and company policies.
- Collaborated with team members to streamline enrollment workflows and improve efficiency.
- Communicated updates on enrollment status to providers via portals and email promptly.
- Handled new enrollments by entering customers' data and reviewing information.
- Verified enrollments for hospitals and clinics, ensuring accuracy and timely approval.
- Followed up on enrollments to check status and progress.
- Opened tickets for enrollment updates and issue resolution.
- Conducted payer callout's to resolve enrollment and claim issues.
- Organized information by using spreadsheets, databases or word processing application.
Specialist I Client Care
SSI Claimsnet
Dallas, TX
11.2013 - 03.2021
- Collaborated with other departments regarding changes to existing processes and procedures.
- Adhered to HIPAA regulations while managing confidential patient information.
- Maintained accurate records of all claim activities for audit purposes.
- Responded promptly to customer inquiries regarding claim status updates.
- Accurately processed large volume of medical claims every shift.
- Picked up paper claims from post office and sorted claims before scanning.
- Scanning medical and dental claims accurately for submission to clearinghouse.
- Converting paper claims to EDI format for electronic processing.
- Performed claim reprising to ensure accurate billing and reimbursements.
- Answered phone and assisted clients with questions about their claims.
- Sent out daily reports for processed claims.
- Supported team workflow by priorit claim documents for timely processing.
- Assisted in troubleshooting scanning equipment and software issues.
- Organized and maintained digital records to ensure efficient claim processing.
Education
GED - High school diploma or GED
Texas Education Agency
05.2010
Health Care Administration - undefined
Tarrant County College
Skills
- Patient care
- EMR systems
- Excellent communication and interpersonal skills
- Team player
- Stocking
- Basic math
- Call center experience
- Detail-oriented
- Healthcare compliance
- Loyal
- Self-motivated
- Dedicated
- Math
- Pivot tables
- Data entry
- Care plans
- Research
- EDI
- Time management
- Negotiation
- Phone etiquette
- Multi-line phone systems
- HIPAA
- CRM software
- Adobe Acrobat
- Highly organized
- Office experience
- Salesforce
- Microsoft Word
- Insurance verification
- Microsoft Outlook
- Client services
- Enrollment processing
- Data verification
- Strong problem-solving abilities
- Store management
- SQL
- Inventory control
- Attention to detail
- Computer literacy
- Organizational skills
- Health information management
- Windows
- Writing skills
- Grammar experience
- Claims management
- Punctual
- Excellent attendance
- Microsoft Excel
- Patient service
- Microsoft PowerPoint
Certification
Driver's License
Languages
English
Personal Information
- Willing To Relocate: Anywhere
- Driving License: Yes
- Availability: Anywhere
Timeline
Enrollment Specialist I
SSI Group
03.2021 - 08.2025
Specialist I Client Care
SSI Claimsnet
11.2013 - 03.2021
GED - High school diploma or GED
Texas Education Agency
Health Care Administration - undefined
Tarrant County College