Charlene M 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
Work History
Enrollment Specialist I (REMOTE)
SSI Group
Mobile, Alabama
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 -
Texas Education Agency
Fort Worth, TX05-2010
Some College (No Degree) - Health Care Administration
Tarrant County College
ArlingtonSkills
- Enrollment processing and data verification
- Healthcare compliance
- Claims management
- Excellent communication and interpersonal skills
- Highly organized and detail-oriented
- Strong problem-solving abilities
- Loyal, self-motivated, and dedicated
- Punctual, with excellent attendance
- Team player who works well independently and collaboratively
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Enrollment Specialist I (REMOTE)
SSI Group
03.2021 - 08.2025
Specialist I Client Care
SSI Claimsnet
11.2013 - 03.2021
GED -
Texas Education Agency
Some College (No Degree) - Health Care Administration
Tarrant County College
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