Crystal Davis
Crowley,TX
Summary
Motivated professional transitioning into the insurance claims field with strong attention to detail, investigative instincts, and excellent communication skills. Possessing foundational knowledge of claims processing and policy interpretation, eager to contribute to a dynamic team by delivering prompt and accurate claims resolutions.
Overview
12
12
years of professional experience
Work History
Home Health Aide
Simplicity Healthcare Services
02.2022 - 07.2024
- Provide in-home personal care services based on established care plans.
- Monitor medications and assist with activities of daily living – mobility, personal hygiene, and feeding.
- Keep household clean and organized, run errands, and prepare and serve meals.
- Document services provided, patient condition, and changes in patient behavior.
- Respect patient’s privacy and maintain confidentiality.
Seasonal Customer Service Representative – Remote Call Center
Neiman Marcus Group
11.2021 - 01.2022
- Served as initial contact for chat, handled inbound and outbound calls, and responded to customer inquiries.
- Took orders, sold and upsold merchandise, posted payments, and provided technical assistance.
- Entered and updated customer account data and communicated clearly and concisely.
- Identified customer needs, resolved problems, and followed established procedures.
- Documented activity in customer accounts accurately and ensured confidentiality.
- Worked effectively to meet quotas and maintained quality standards to ensure customer service.
Homemaker
Home
02.2021 - 11.2021
- Set standards for behavior and led by example.
- Made decisions, provided support, ensured household duties were completed, and disciplined appropriately.
- Resolved problems and conflicts, managed finances, and coordinated medical care and activities.
Customer Service Representative – Remote Call Center
Neiman Marcus Group
04.2016 - 02.2021
- Interacted with customers via chat, inbound, and outbound calls to answer inquiries and respond to questions.
- Entered and updated customer account data and documented customer interactions with high attention to detail.
- Sold and upsold merchandise, took orders, posted payments, and provided technical assistance.
- Communicated clearly and concisely, met quotas, and worked effectively as a team member.
- Provided quality customer service, followed procedures, and handled confidential information.
Homemaker
Home
07.2012 - 04.2016
- Ensured household duties were completed promptly and managed the household budget.
- Coordinated medical care, meals, and social activities.
- Remained deadline-oriented and reliable while adjusting priorities and managing time wisely.
- Self-motivated, with a strong sense of personal responsibility.
Education
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
2023
HIPAA Essentials for Healthcare Professionals Certificate -
Ultimate Medical Academy
Skills
- Communication Platforms – Zoom and MS Teams
- Microsoft Office Applications – Word Type 40 WPM
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO, PPO, and POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- HIPAA Compliance
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
Affiliations
- Well-rounded, self-directed professional backed by call center and customer service experience. Able to implement the organization's mission and goals and pay close attention to detail to ensure correct coding for optimal reimbursement and compliance with guidelines.
- High Academic Honors Recognition / Dean's List / Honor Roll.
- Customer service skills necessary to communicate effectively with patients and healthcare providers.
- Work as part of a team and maintain a professional and positive work environment.
- Attention to detail needed to maintain high levels of accuracy.
Timeline
Home Health Aide
Simplicity Healthcare Services
02.2022 - 07.2024
Seasonal Customer Service Representative – Remote Call Center
Neiman Marcus Group
11.2021 - 01.2022
Homemaker
Home
02.2021 - 11.2021
Customer Service Representative – Remote Call Center
Neiman Marcus Group
04.2016 - 02.2021
Homemaker
Home
07.2012 - 04.2016
HIPAA Essentials for Healthcare Professionals Certificate -
Ultimate Medical Academy
Associate of Science Degree - Medical Billing and Coding
Ultimate Medical Academy
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