Courtney Mayhue
Tampa
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.
Overview
9
9
years of professional experience
Work History
Direct Care Staff Member
All About Living Inc
Tampa
03.2023 - Current
- Ensured safety of all clients in accordance with facility regulations.
- Monitored vital signs, including blood pressure, temperature and pulse rate.
- Provided personal care to clients, such as bathing, dressing and grooming.
Medical Claims Specialist
Randstaf Staffing At Cardinal Health
01.2022 - 03.2023
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims.
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
- Expedited claim resolution times with proactive communication between patients, providers, and insurance companies.
- Researched and resolved complex medical claims issues to support timely processing.
Inbound Call Center Representative
Randstaf Staffing
03.2020 - 01.2022
- Reduced call wait times by efficiently managing call queues and prioritizing urgent requests.
- Answered phone with friendly greeting to create positive inbound calling experience for customers.
- Handled high volume of inbound calls per shift to offer callers product and service information and generate quotes.
- Maintained high-quality service standards for all inbound calls, ensuring prompt and accurate assistance.
- Improved first-call resolution rates by effectively utilizing resources and available tools.
- Delivered outstanding results under high-pressure situations by maintaining composure during difficult calls or high-volume periods.
Data Entry Processor
Alorica
10.2016 - 03.2020
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
- Obtained scanned records and uploaded into database.
- Sorted documents and maintained organized filing process.
- Maintained files, records and chronologies of entry activities.
- Enhanced research accuracy by diligently collecting and analyzing data from various sources.
Education
GED
Tampa, FLSkills
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Payment posting
Claim Appeals Handling
Product Knowledge
Order Management
Professional telephone demeanor
Problem Resolution
Call center experience
Call Handling Techniques
Team Collaborations
Quality assurance checks
Thorough claims reviews
Managed Care Understanding
EOB Analysis
Billing Data Verification
Customer Service Excellence
Data Entry and Quality Assurance
Insurance coverage verification
Documentation review
Settlement determinations
Coverage assessments
Customer Data Confidentiality
Multitasking and Prioritization
Risk Management
Verbal and Written Communication
Issue and Complaint Resolution
Order and Refund Processing
Account Management
Provider Relations
Healthcare compliance
HIPAA knowledge
ICD-10 Proficiency
Efficient and Detail-Oriented
Performance Metrics
Claims Processing
Customer Service Excellence
References
Available Upon Request
Timeline
Direct Care Staff Member
All About Living Inc
03.2023 - Current
Medical Claims Specialist
Randstaf Staffing At Cardinal Health
01.2022 - 03.2023
Inbound Call Center Representative
Randstaf Staffing
03.2020 - 01.2022
Data Entry Processor
Alorica
10.2016 - 03.2020
GED