Chrisietia Buckley
Hockley,TX
Summary
Detail-oriented healthcare customer service professional with 5+ years of experience supporting members, providers, and patients in remote healthcare environments. Skilled in authorization and claims support, member record maintenance, eligibility verification, medical terminology, HIPAA compliance, and resolving complex service issues. Proven ability to meet productivity goals, maintain accurate documentation, and collaborate with cross-functional teams to ensure timely processing and high-quality service.
Overview
6
6
years of professional experience
Work History
Care Partner
Thyme Care
Nashville, TN
02.2025 - Current
- Serve as the primary point of contact for cancer patients, coordinating care and connecting members with providers, financial assistance, and community resources.
- Document patient interactions, assessments, referrals, and follow-up actions accurately in electronic systems while maintaining HIPAA compliance.
- Coordinate scheduling and verify information needed to ensure timely access to appropriate healthcare services.
- Collaborate with clinical and operational teams to resolve issues and ensure continuity of care.
Customer Service Representative
Elevance Health (Anthem)
Houston, TX
06.2021 - 02.2023
- Maintained and updated member records with a high degree of accuracy, ensuring data integrity and compliance with company and HIPAA guidelines.
- Verified member eligibility, benefits, and coverage while assisting with claims, referrals, and authorization-related inquiries.
- Reviewed and interpreted insurance documentation to resolve complex claims and service issues, improving processing accuracy and member satisfaction.
- Handled 50+ member interactions daily while consistently meeting quality, productivity, and attendance expectations.
- Communicated with providers, members, and internal departments to obtain clarification and resolve outstanding issues promptly.
- Escalated complex cases appropriately and collaborated with team members to ensure timely resolution and high-quality service.
Customer Service Advocate
TTEC (United Healthcare)
Houston, TX
10.2020 - 06.2021
- Assisted members with healthcare benefits, referrals, claims, and coverage questions using multiple systems and resources.
- Interpreted healthcare information and explained benefits, procedures, and service requirements clearly and accurately.
- Maintained confidentiality of protected health information and adhered to HIPAA requirements
- Resolved complex inquiries with empathy and professionalism while meeting performance and quality standards.
Nurse Technician
HCA Houston Healthcare Medical Center
Houston, TX
02.2020 - 10.2020
- Assisted with patient mobility and hygiene to improve comfort and care quality, while ensuring accurate specimen collection and preparation for lab diagnostics.
- Communicated critical patient information to healthcare staff and monitored vital signs, contributing to optimized treatment plans and patient stability.
- Utilized medical terminology and communicated patient information accurately to clinical staff.
- Maintained accurate documentation and followed established healthcare procedures and confidentiality standards.
Education
Associate of Science - Healthcare Information Management
Blinn College
Brenham, TX08.2027
Associates of Arts - Healthcare Studies
Houston City College
Houston, TX07.2014
High School Diploma - General Studies
Kingston Technical High
Kingston, JA08.2006
Skills
- Medical Terminology
- HIPPA Compliance
- Eligibility Verification
- Claims Resolution
- Referral & Authorization Support
- Accurate Data Entry
- Documentation Review
- Provider & Member Communication
- Problem Resolution & Escalation
- Quality Assurance
- Facets
- Compass
- Medysis
- Marx
- Genesys Cloud
- Google Workspace
- Slack
- Zoom Workplace
- Amazon Connect Customer
Timeline
Care Partner
Thyme Care
02.2025 - Current
Customer Service Representative
Elevance Health (Anthem)
06.2021 - 02.2023
Customer Service Advocate
TTEC (United Healthcare)
10.2020 - 06.2021
Nurse Technician
HCA Houston Healthcare Medical Center
02.2020 - 10.2020
High School Diploma - General Studies
Kingston Technical High
Associate of Science - Healthcare Information Management
Blinn College
Associates of Arts - Healthcare Studies
Houston City College