Healthcare professional with wealth of experience in patient service roles, ready to contribute to dynamic team. Known for effective communication and seamless handling of patient inquiries and administrative duties. Colleagues and patients alike rely on collaborative nature and adaptability to meet diverse needs.
Hi, I’m
Dalicia Peterson
Wake Forest,NC
Summary
Overview
9
years of professional experience
Work History
Infinitus
AI Data Trainer
08.2023 - Current
Job overview
- Assisting the Infinitus AI system in completing verification phone calls through our proprietary platform
- Ensuring quality of recorded outputs
- Working with operations and engineering teams to train the Infinitus AI platform to improve healthcare data collection
- Researching healthcare treatments, insurance providers, and reimbursement models
- Assisted in high season, new product or system launches, new line extensions, or any unexpected surge in volume or backlog situations.
Center for Veterinary Specialty and Emergency Care (BluePearl)
Patient Service Representative/ FSR- ER/Surgery, Neurology, Internal Medicine
12.2019 - 01.2021
Job overview
- Create accounts and obtain medical history for patients, follow up and answer questions from clients regarding post-op care and in-hospital updates
- Create veterinarians department, skill level, and availability; including emergency follow ups, and confirming in-house and imaging appointments
- Coordinate the triage process for emergencies into hospital, and fill medications in house or provide verbal/send prescriptions to respective pharmacies as needed.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
Alliance Rx Walgreens Prime Speciality Pharmacy
Patient Care Coordinator (Core and Federal Employee Program)
11.2016 - 11.2019
Job overview
- To monitor medication schedules and schedule delivery shipments including verification of insurance and assisting in enrollment for copay assistance.
- Educate patients on questions of their medical condition and reporting any potential adverse events
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience with the pharmacy.
Catastrophe Response Unit (CSR)
Insurance Claims Specialist
09.2016 - Current
Job overview
- Approve, deny or forward claims to investigators for further review
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
Education
The University of Texas At ArlingtonArlington, TX
Bachelor of Science from Biology
05-2021
University Overview
Brookhaven CollegeDallas, TX
Associate of Science from Biology
08-2018
University Overview
DeSoto High SchoolDeSoto, TX
High School Diploma
06-2014
University Overview
Skills
- Customer service
- HIPAA compliance
- Insurance verification
- Insurance verifying
- Appointment scheduling
- Patient confidentiality
- Scheduling appointments
- Medical terminology
- Payment collection
- Eligibility determination
- Medical insurance
- Data entry proficiency
- Conflict resolution
- Patient education
- Interpreting physician orders
- Electronic health records
- Data protection
- Queue management
- Typing 54 wpm
- Appointment confirmation
- Routing lab results
- Phone and email etiquette
- Problem-solving
- Patient registration
Timeline
AI Data Trainer
Infinitus
08.2023 - Current
Patient Service Representative/ FSR- ER/Surgery, Neurology, Internal Medicine
Center for Veterinary Specialty and Emergency Care (BluePearl)
12.2019 - 01.2021
Patient Care Coordinator (Core and Federal Employee Program)
Alliance Rx Walgreens Prime Speciality Pharmacy
11.2016 - 11.2019
Insurance Claims Specialist
Catastrophe Response Unit (CSR)
09.2016 - Current
The University of Texas At Arlington
Bachelor of Science from Biology
Brookhaven College
Associate of Science from Biology
DeSoto High School
High School Diploma
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