Summary
Overview
Work History
Education
Skills
Accomplishmentscertifications
References
Timeline
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Crystal Ray

Pelzer,SC

Summary

Personable and dedicated customer service representative with extensive experience in industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.

Overview

15
15
years of professional experience

Work History

Assistant Manager

Greenville County School District
Pelzer, SC
03.2021 - Current
  • Analyzed business performance data and forecasted business results for upper management.
  • Ensured compliance with safety regulations and company policies.
  • Maintained accurate records of sales transactions using point-of-sale systems.
  • Planned and led team meetings to review business results and communicate new and ongoing priorities.
  • Conducted regular performance reviews for employees to identify areas of improvement.
  • Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
  • Assisted in the development of operational strategies to ensure efficient and productive operations.
  • Supervised daily operations, including scheduling shifts and assigning duties.
  • Developed a system for tracking inventory and ordering supplies as needed.
  • Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
  • Analyzed sales data to identify trends and adjust strategies accordingly.
  • Organized training sessions for new hires to familiarize them with the workplace environment.

Front Office Specialist

Upstate Podiatry Group, PA
Simpsonville, USA
10.2018 - 03.2021
  • Utilized Cerner Software.
  • Coordinated patient arrivals and departures.
  • Answered phones with exceptional customer service.
  • Gathered essential patient details required for insurance claim processing.
  • Obtained pre-authorizations and pre-certifications required for medical procedures, surgeries, and HMO plans.
  • Collected all copays, deductibles, and coinsurances.
  • Coordinated the handling of faxes and inbound referrals.
  • Acquired skills as a non-certified medical assistant to support doctors with patient intake.
  • Performed data entry tasks into company databases accurately and efficiently.
  • Handled incoming calls and directed callers to the appropriate department or employee.
  • Analyzed data collected from surveys or focus groups regarding user experience with EMRs.

Non-Certified Medical Assistant

Dr. Caroline Price Dermatology
Greenville, USA
07.2018 - 10.2018
  • Managed tasks efficiently with Practice Partner software.
  • Handled incoming telephone calls.
  • Transcribed patient visits during consultations with doctors.
  • Aided in performing excision surgeries, biopsies, and procedures with the medical team.
  • Faxed and called in prescriptions prescribed by the doctor.
  • Managed insurance denials of prescriptions, and facilitated approvals.
  • Handled prescription approvals while ensuring verification of insurance coverage.

Front Office Specialist

Greenville Dermatology
Greenville, USA
07.2015 - 07.2018
  • Modern Medicine EMA Software user.
  • Provided excellent customer care while greeting patients.
  • Handled telephone inquiries efficiently.
  • Performed insurance eligibility for all scheduled patients before the next business day.
  • Coordinated referral processing, ensuring correct insurance details were confirmed.
  • Secured pre-authorizations for patient office visits under HMO plans.
  • Handled all incoming veteran referrals and obtained their pre-authorizations every 90 days.
  • Acquired necessary payments including co-insurance, deductibles, and copays upon patient's departure.
  • Responded to appointment requests through email, form, and phone.
  • Converted physical documents to digital format.
  • Facilitated various team-building activities as a dependable team player.

Check In & check out

Peace Medical Center
Greenville, USA
11.2013 - 07.2015
  • Provided greetings to all arriving patients.
  • Handled incoming calls efficiently.
  • Utilized E-Clinical software.
  • Arranged and managed appointments, surgeries, and various diagnostic tests.
  • Collected comprehensive patient details, such as demographic information and IDs.
  • Processed insurance eligibility accurately in patients' charts.
  • Completed end-of-day reporting, balancing cash and payments received.
  • Handled all bank deposits and balanced cash drawers.

Check in & Checkout

Complete Healing & Wellness
Williamson, USA
04.2013 - 10.2013
  • Welcomed patients.
  • Responded promptly to phone calls.
  • Collected relevant data from patients, such as IDs and insurance cards.
  • I verified insurance eligibility, scanned insurance cards, processed patient check-outs, and collected copays, deductibles, or coinsurances, as determined by their insurance coverage.
  • Closed out business days by running reports displaying total payments received.
  • Handled and recorded all bank deposits.

Check in, & Checkout

Doctors Care
Easley, USA
08.2012 - 04.2013
  • Welcomed patients, managed phone inquiries, and utilized Cerner software.
  • Collected appropriate patient information, such as demographics, IDs, and insurance cards.
  • Did insurance eligibility, scanned insurance cards, checked out patients, and collected any copays, deductibles, or co-insurances based on their insurance eligibility?
  • Insurance eligibility benefits would be documented in patients' charts.
  • Closed out and generated end-of-day reports to track all payments.
  • Prepared bank deposits and balanced cash drawers.
  • Coordinated the handling of all faxes and referral processes.
  • Filed referral documents in patients' charts along with confirmation sheets and logged them accordingly.

Customer Service Representative

Alorica Call Center
Greenville, SC
06.2010 - 08.2010
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Resolved complex problems by working with other departments to provide solutions that meet customer needs.
  • Developed strong customer relationships to encourage repeat business.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Provided exceptional customer service to ensure customer satisfaction.

Education

Associate's Degree - Healthcare Reimbursement Medical Billing & Coding

Virginia College
Greenville, SC
07.2012

High School Diploma -

Woodmont High School
Piedmont, SC
06.2007

High school or equivalent -

Hillcrest High School
Simpsonville, SC
05.2005

Skills

  • Excellent customer service
  • 8 years of insurance verification
  • Excellent communication skills
  • Highly Organized
  • Perfect attendance
  • Type 60 WPM
  • Computer Microsoft Excel
  • PowerPoint
  • Cerner Software User
  • Modern Medicine EMA Software User
  • Practice Partner Software User
  • HPM Software user
  • Misys Software user
  • E-Clinical Works Software 9 & 10 user
  • Lytec Software user
  • 10-key data entry
  • CPT/HCPCS/ICD-9 & ICD-10 Coding
  • Fax/Printer/Scanner
  • Insurance Verification
  • Check claim status
  • Enter patient demographics
  • Enter patient charges
  • Post Payments
  • Time management
  • Microsoft office expertise
  • Customer service
  • Money handling
  • EHR software navigation
  • Healthcare billing
  • HIPAA compliance
  • Medical terminology proficiency
  • Clinical documentation
  • Electronic health record expertise
  • Attention to detail
  • Verbal and written communication
  • Medical Software Familiarity
  • Excellent communication
  • Organizational skills
  • Clinical data entry
  • Data entry
  • Data Entry Competence
  • Data entry specialist

Accomplishmentscertifications

  • High school diploma
  • 2-year associate's degree in healthcare Reimbursement
  • Certified in HIPAA
  • Certified in Fraud, Waste, & Abuse
  • Academic Presidents List
  • Perfect Attendance
  • Certified CPR/AED (expired)
  • Certified in OSHA
  • Certified Misys User
  • Certified in Serv Safe

References

References available upon request.

Timeline

Assistant Manager

Greenville County School District
03.2021 - Current

Front Office Specialist

Upstate Podiatry Group, PA
10.2018 - 03.2021

Non-Certified Medical Assistant

Dr. Caroline Price Dermatology
07.2018 - 10.2018

Front Office Specialist

Greenville Dermatology
07.2015 - 07.2018

Check In & check out

Peace Medical Center
11.2013 - 07.2015

Check in & Checkout

Complete Healing & Wellness
04.2013 - 10.2013

Check in, & Checkout

Doctors Care
08.2012 - 04.2013

Customer Service Representative

Alorica Call Center
06.2010 - 08.2010

Associate's Degree - Healthcare Reimbursement Medical Billing & Coding

Virginia College

High School Diploma -

Woodmont High School

High school or equivalent -

Hillcrest High School
Crystal Ray