Cierra Patton
Northport,AL
Summary
Self-directed and customer service oriented professional with a strong understanding of the importance of accurate claims processing. Adept at shifting priorities and bringing flexibility to challenging situations. Follow policies and procedures to assure consistent quality. Maintain patient privacy and confidentiality. Strong leadership skills with an ability to build trust and loyalty within the team dynamic. Work in environments where accuracy and accountability are essential and deal with confidential data.
Insurance professional with comprehensive understanding of insurance policies and risk management. Proven track record of effectively managing client relationships and resolving claims. Strong focus on team collaboration and adaptability, ensuring reliable and results-driven performance. Known for strong analytical skills, clear communication, and adaptability to changing industry needs. Proven ability to collaborate effectively with teams to achieve results. Highly skilled in policy analysis, regulatory compliance, and customer service. Reliable and focused on delivering impactful solutions.
- Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
- Microsoft Office Applications – Word, Excel, PowerPoint, and Outlook.
Overview
16
16
years of professional experience
Work History
CBO Accounts Receivable Insurance Specialist
MedSrv
10.2023 - Current
- Keeps management informed of client problems on communication and correspondence
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Streamlined policy management by regularly updating client information and tracking policy changes.
- Processed eligibility and benefits verification and authorization requests.
- Ensured regulatory compliance through diligent monitoring of company practices and adherence to guidelines.
- Followed up on denials, late payments, extensions and other special circumstances.
- Improved operational efficiency by developing procedures for processing claims, payments, and endorsements.
- Maintained high standards of customer service by building relationships with clients.
- Trained new hires on company policies and procedures, ensuring a seamless transition into the Insurance Specialist role.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained a high level of industry expertise through continuous professional development courses and certifications in the field of insurance specialty.
- Strengthened client relationships through consistent follow-ups, ensuring timely renewals and retention.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Provided exceptional service to clients by guiding them through the claims process stepbystep.
- Reduced claims processing time by effectively collaborating with adjusters, claimants, and internal departments.
Provider Specialist - Externship
Blue Cross Blue Shield
06.2023 - Current
- Maintain accurate records on complaints and other customer comments and make recommendations to management
- Follow through on complaints until resolved
- Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations
- Uphold all departmental productivity, quality, and timeliness standards
- Identify and promptly report suspected fraudulent activities and system errors to the appropriate departments
Customer Service Representative / Remote Call Center
Pennsylvania Higher Education Assistance Agency
02.2022 - 07.2023
- Managed large amounts of inbound and outbound calls in a timely manner
- Completed extensive data entry of call information within company computer system, helping to ensure organization and increased effectiveness
- Located and researched information using multiple systems, applications, and technologies
- Coordinated with cross-functional departments to obtain necessary information to resolve issues
Medical Records Assistant / Medical Assistant
Change Healthcare
10.2019 - 07.2022
- Gathered patient demographic and personal information
- Issued medical files to persons and agencies according to laws and regulations
- Assisted with departmental audits and investigations
- Distributed medical charts to the appropriate departments of the hospital
- Maintained quality and accurate records by following hospital procedures
- Ensured patient charts, paperwork, and reports were completed in an accurate and timely manner
- Made sure all medical records were protected and kept confidential
- Supplied the nursing department with the appropriate documents and forms
- Completed clerical duties and processed patient admission and discharge records
- Worked closely with Supervisor and Team Leads to ensure department's stated goals and quality standards were achieved
General Manager / Human Resources / Payroll Specialist
Shane’s Rib Shack
12.2016 - 10.2020
- Determined price schedules and discount rates
- Reviewed operational records and reports to project sales and determine profitability
- Monitored customer preferences to determine focus of sales efforts
- Prepared budgets, approved budget expenditures, and handled benefits analysis
- Recruited candidates, hired staff, and processed payroll functions
- Conducted disciplinary actions, updated policies, and maintained employee records
General Laborer
JVC
01.2009 - 12.2017
- Operated machinery in a safe and efficient manner and in accordance with company procedures
- Continually observed product quality, rejecting sub-standard products per company protocols
- Worked within Standard Operating Procedures (SOP) and Job Safety Analysis (JSA)
- Maintained a clean work environment, efficient workspace, and proficient work processes while completing tasks as a productive team member
Cashier / Customer Service
University of Alabama
04.2010 - 09.2016
- Performed a variety of administrative and clerical tasks to help keep the office organized
- Managed general administrative activities to ensure efficient day-to-day operations of the office
- Received payment by cash, check, and credit and debit cards, maintaining all cash and receipts
- Worked as part of a team and interacted with diverse customers and staff members
- Offered a positive customer experience through customer care and attention to detail
Caregiver
Home Instead Senior Care
05.2013 - 12.2015
- Maintained a safe, secure, and healthy environment
- Assisted with activities of daily living – personal hygiene, mobility, and feeding
- Handled light housekeeping duties, prepared meals, and ran errands
- Completed daily logs documenting patient condition and activities and any changes to patient care plan
- Ensured confidentiality and privacy standards of protected health information
Education
Diploma - Medical Billing and Coding
Ultimate Medical Academy
01.2023
Skills
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO
- PPO
- POS)
- Workers Compensation
- Insurance Verification Insurance Claim Processing
- CMS1500
- CMS1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM
- HCPCS
- CPT)
- Documentation skills
- Policy analysis
- Reporting skills
- Regulatory compliance
- Account management
- Documentation
- Claims management
- Insurance law
- Reporting
- CRM software
- Customer follow-up
- Data entry
- Customer billing
- Billing inquiries
Timeline
CBO Accounts Receivable Insurance Specialist
MedSrv
10.2023 - Current
Provider Specialist - Externship
Blue Cross Blue Shield
06.2023 - Current
Customer Service Representative / Remote Call Center
Pennsylvania Higher Education Assistance Agency
02.2022 - 07.2023
Medical Records Assistant / Medical Assistant
Change Healthcare
10.2019 - 07.2022
General Manager / Human Resources / Payroll Specialist
Shane’s Rib Shack
12.2016 - 10.2020
Caregiver
Home Instead Senior Care
05.2013 - 12.2015
Cashier / Customer Service
University of Alabama
04.2010 - 09.2016
General Laborer
JVC
01.2009 - 12.2017
Diploma - Medical Billing and Coding
Ultimate Medical Academy
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