Dedicated and adaptable professional bringing several years' experience in customer service and healthcare support. Well-developed communication, time management and problem-solving abilities.
Overview
12
12
years of professional experience
Work History
Patient Account Representative
Revcycle- Healthcare business Services
Marshfield, WI
04.2024 - Current
Assisted in resolving patient complaints related to account balances, insurance coverage, billing inquiries and payment plans.
Maintained detailed notes on all patient interactions for future reference purposes.
Negotiated credit extensions and waivers when necessary after reviewing financial information and recommend payment options and/or assistance programs in accordance with client guidelines.
Initiated collection activities on delinquent accounts while adhering to HIPAA guidelines and regulations.
Member Service Representative
Blue Cross and Blue Shield
Port Saint Lucie, FL
08.2021 - 11.2023
Verified identity information on new accounts using established procedures.
Answered incoming calls from patients and other healthcare facilities regarding membership benefits, locating providers, eligilbity, billing, benefits, and pharmacy.
Scheduled appointments for patients using the electronic health records system.
Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
Assisted in checking patient's insurance eligibility prior to their appointment.
Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
Ensured that proper follow up was completed after each interaction with a customer.
Customer Service and Front-End Manager
Lowes Home Improvment
Oxford, Anniston, Austell And Carrollton, AL And GA
10.2015 - 05.2019
Conducted regular meetings with staff to discuss progress and identify areas of improvement.
Developed and implemented strategies to increase customer satisfaction and loyalty.
Maintained up-to-date records of employee attendance, payroll information, vacation requests.
Coached, mentored and trained team members in order to improve their job performance.
Oversaw all aspects of merchandising within the store including product placement and display design.
Managed daily operations of the store, including opening and closing procedures.
Conducted inventory management activities such as receiving shipments and maintaining stock levels.
Answered incoming phone calls from customers regarding product availability or store locations.
Resolved customer complaints in a professional manner.
Cashier
Justice for Girls
Douglasville, GA
05.2012 - 01.2015
Assisted customers over the phone regarding store operations, product information and order placement.
Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
Stocked shelves with merchandise when needed.
Developed knowledge of current fashion trends and styles to better assist customers.
Implemented store visual standards with proper product placement and advertisement displays.
Education
Bachelor of Science - Mass Communication and Journalism
University of West Georgia
Carrollton, GA
05-2019
High School Diploma -
New Manchester High School
Douglasville, GA
05.2014
Some College (No Degree) - Mass Communication and Journalism
Jacksonville State University
Jacksonville, AL
Skills
Insurance Verification
Medical Billing
Payment Processing
HIPAA understanding
Investigative research
Patient Care
Insurance Billing
Medical terminology knowledge
Administrative Support
Collections experience
Appointment Scheduling
Claims Processing
Quality Assurance
References
References available upon request
Timeline
Patient Account Representative
Revcycle- Healthcare business Services
04.2024 - Current
Member Service Representative
Blue Cross and Blue Shield
08.2021 - 11.2023
Customer Service and Front-End Manager
Lowes Home Improvment
10.2015 - 05.2019
Cashier
Justice for Girls
05.2012 - 01.2015
Bachelor of Science - Mass Communication and Journalism
University of West Georgia
High School Diploma -
New Manchester High School
Some College (No Degree) - Mass Communication and Journalism