Cynthia Kirkley
Florence,SC
Summary
Detail-oriented Licensed Healthcare Agent driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
10
10
years of professional experience
Work History
Remote Claims Specialist/Licensed Healthcare Agent
TTEC (Seasonal/Contracts)
Englewood, CO
03.2020 - Current
- Followed up with customers on unresolved issues.
- Conducted full claim investigations and reported updates and legal actions.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
- Implemented improvements in manual and electronic billing procedures.
- Developed and implemented procedures for ensuring accuracy in Medicare enrollment applications.
- Reviewed applications to verify accuracy and completeness of information provided.
- Provided detailed explanations of Medicare benefits, services, and coverage options to customers.
- Assisted customers with completing the application process for Medicare enrollment.
Fitness Supervisor
McLeod Regional Medical Center
Florence, SC
11.2017 - 03.2020
- Responded promptly to customer issues and resolved problems through effective communication and decision making skills.
- Demonstrated strong knowledge of all fitness equipment and explained to customers how to properly use each machine.
- Trained newly hired employees, offering insight into job duties and providing positive feedback on work.
- Fostered positive working environment for all employees by encouraging staff members to voice opinions and concerns without fear of reprisal.
Certified Medical Assistant
McLeod Regional Digestive Healthcare
Florence, SC
04.2014 - 11.2017
- Sanitized, restocked and organized exam rooms and medical equipment.
- Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Called and faxed pharmacies to submit prescriptions and refills.
- Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Education
Licensed - Accident & Health Or Sickness Insurance Producer
National Association of Insurance Commission
South Carolina05.2020
Certificate - Administrative Assistance
Professional Medical Training Center
Florence, SC04.2013
Certified Clinical Medical Assistance - Medical Assisting
National Healthcare Association
Leawood, KS01.2012
Skills
- Microsoft Outlook
- Adobe Systems Adobe Acrobat
- Oracle Fusion Applications
- Staff Recruitment and Hiring
- Management of Financial Resources
- Regulatory Compliance
- Prioritizing and Planning
- Shift Scheduling
- Advertising Techniques
- Microsoft Excel
Timeline
Remote Claims Specialist/Licensed Healthcare Agent
TTEC (Seasonal/Contracts)
03.2020 - Current
Fitness Supervisor
McLeod Regional Medical Center
11.2017 - 03.2020
Certified Medical Assistant
McLeod Regional Digestive Healthcare
04.2014 - 11.2017
Licensed - Accident & Health Or Sickness Insurance Producer
National Association of Insurance Commission
Certificate - Administrative Assistance
Professional Medical Training Center
Certified Clinical Medical Assistance - Medical Assisting
National Healthcare Association
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