Christy Rhodes
Henderson,NV
Summary
Efficient professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks precisely and specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.
Overview
19
19
years of professional experience
1
1
Certification
Work History
FSAFEDS Benefits Claims Specialist
Direct Interactions
Seattle, Washington
11.2024 - Current
- Company Overview: Client contracts with Conduent and HealthEquity are seasonal and remote.
- Provides high-quality client support for federal employees and dependents, addressing claims-related concerns with a focus on accuracy and confidentiality.
- Adjunction of submitted claims to determine full, partial reimbursement, or denial of the claim.
- Investigate and resolve healthcare, limited expense, and dependent care claim discrepancies for multiple clients through FSAFEDA Records, Guidewire, or other preferred processing platforms to ensure timely and accurate resolution, enhancing client and participant satisfaction.
- Performed simultaneously with over seven software programs.
Claims Customer Service Representative
VSP Insurance
Rancho Cordova, California
09.2023 - 05.2024
- Company Overview: Seasonal, Remote
- Responded to inquiries from over 100 members via phone and email per shift.
- Authorized prior authorizations for members, providers, and retailers.
- Coordinated benefits to determine the primary and secondary plans for members and their dependents.
- Efficiently adjudicated claims, utilizing eClaim through the Eyefinity platform, maintaining strict adherence to confidentiality standards while updating client and member records.
- Collaborated with cross-functional teams to resolve escalated claims, maintaining a 96% customer satisfaction rate.
Customer Support & Service Representative
Southwest Airlines
Dallas, Texas
09.2022 - 03.2023
- Company Overview: Overnight Remote.
- Interfaced effectively with a diverse customer base, utilized de-escalation techniques, communicated with patience and understanding, and proposed ideal solutions for customer issues, resulting in a 20% reduction in cancellations.
- Processed large volumes of customer data precisely, ensuring accuracy in documentation and account updates.
- Performed simultaneously with over three software programs.
Laboratory Assistant (Phlebotomist Data Entry)
Henderson Hospital
Henderson, Nevada
01.2022 - 04.2022
- Company Overview: Laboratory Assistant - Overnight
- Verified and entered patient data with 100% accuracy, even under high-pressure, overnight shifts.
- Obtained and input lab order results into EPIC using the laboratory information system.
- Collected blood, urine, and other specimens from patients following standard protocols and maintaining strict adherence to safety and infection control guidelines.
- Processed and prepared specimens for laboratory testing, ensuring proper labeling, handling, and documentation to maintain sample integrity.
- Maintained an organized and sterile work environment, regularly sanitizing equipment and workstations to meet hospital safety standards.
- Coordinated with medical staff to prioritize and process urgent and routine specimen orders, contributing to efficient patient care.
PST Technician (Phlebotomist Data Entry)
LabCorp of America
Las Vegas, Nevada
06.2021 - 12.2021
- Company Overview: PST Technician Phlebotomist - Laboratory Assistant
- Verified insurance details and assisted patients with understanding coverage and payment options.
- Performed phlebotomy procedures to collect specimens, ensuring patient comfort, and adherence to safety protocols.
- Executed legal DNA testing, adhering to chain of custody and collection procedures, in order to maintain specimen integrity.
- Processed and documented patients' lab requisition requests using LabCorp Diagnostic Assistant, an integration with Epic EHR that provides seamless collaboration between providers and me, allowing direct access to patients' lab results through their charts.
- Coordinated with providers, insurance, patients, families, and third-party providers to facilitate smooth claim processing.
Fleet Marine Force Hospital Corpsman
United States Navy
Multiple Duty Stations
07.2006 - 07.2012
- Company Overview: Active Duty.
- Provided basic medical care for Active Duty, Reserve, DoD personnel, and their dependents.
- Assisted medical officers and civilian doctors in advanced and intermediate medical procedures.
- Ensured document reviews were 100% compliant with JCAHO and HIPAA.
- Maintained healthy relationships with physicians and followed physician orders effectively and proficiently.
- Personally trained nine junior employees and medical assistants to locally certified competency levels during high supervisor turnover periods.
- Documented, vaccinated, and educated an average of 400 patients per month.
- Sustained meticulous medical billing records, contributing to accurate claims adjudication.
Education
Bachelor of Science - Communications
Western Governors University
08.2027
Skills
- Customer service, Conflict resolution
- Prior authorizations
- Data entry
- Time management
- Oral and written communication skills
- Teamwork, versatile in fast-paced environments
- Works with minimal direction
Certification
Certified Phlebotomy Technician (CPT), Nevada Phlebotomy License (#63603-AL-1), 11/15/25
Timeline
FSAFEDS Benefits Claims Specialist
Direct Interactions
11.2024 - Current
Claims Customer Service Representative
VSP Insurance
09.2023 - 05.2024
Customer Support & Service Representative
Southwest Airlines
09.2022 - 03.2023
Laboratory Assistant (Phlebotomist Data Entry)
Henderson Hospital
01.2022 - 04.2022
PST Technician (Phlebotomist Data Entry)
LabCorp of America
06.2021 - 12.2021
Fleet Marine Force Hospital Corpsman
United States Navy
07.2006 - 07.2012
Bachelor of Science - Communications
Western Governors University
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