Currently seeking a long-term position in healthcare where my professional skills and experience will be an asset to the company.
Overview
24
24
years of professional experience
Work History
Customer Advocate
Delta Dental of California
12.2019 - Current
Answered incoming call from members concerning dental insurance. Discuss with patients via phone verification of benefits, dental claim status, Provider changes. Explain dental insurance benefits, premium payments and web support.
Call Center Healthcare Agent
DXC Technology
08.2016 - 08.2019
Answered incoming provider calls regarding claim inquiries and healthcare insurance Eligibility status. Assist with billing questions according to federal and state guidelines. Offered customer service for payments of claims using reference manuals and online tools, adjustments and claim adjudication. Offered customer service for incoming calls from members for healthcare insurance eligibility status. Referred members to various healthcare specialist according to healthcare insurance plans. Expedited eligibility healthcare plans for members.
Advocate Field Service Reviewer
Hire Dynamics, Altegra Healthcare
01.2016 - 04.2016
Supervised Field Service Reviewer for medical record retrieval for healthcare insurance company annual medical records audits. Approved timesheets mileage, and personal time off. Assist with technical issues with equipment and routes. Scheduled and rescheduled appointment to medical facilities for medical records retrieval.
Customer Service Representative
Hire Dynamics, Wipro
08.2015 - 01.2016
High volume inbound call center for Best Buy Retailer. Offered customer service to client and shipping carriers. Place online and telephone order for clients for retail items. Assisted with tracking lost and delayed orders. Activated cellphones for Verizon, Sprint and AT&T.
Patient Service Representative
Benevis
02.2013 - 08.2011
High volume inbound outbound calls, fast paced Call Center environment. Scheduled appointments for patients to see dental providers. Pre-registered patients receiving demographic and dental insurance. Offered customer service to patients and dental providers and insurance companies.
Caregiver
Home Healthcare Specialist
05.2009 - 02.2011
Caregiver for elderly and terminally ill patients’ private duty. Provided assistance to patient with meal preparation and bathing.
Medical Front Office
Atlanta Heart Specialist
11.2007 - 02.2009
Checked patients out, scheduled appointments, filed claims and followed up with healthcare insurance companies concerning unpaid claims and denials. Verified healthcare insurance for cardiologist office visit and procedures. Registration for patient receiving demographic and healthcare insurance information.
Patient Account Representative
Emory Clinic
02.2003 - 11.2007
High Volume inbound, outbound offering customer service for patients and doctors. Performed registration for patients to see healthcare specialist, financial clearance. Built and linked referrals and authorization for procedures. Verified healthcare insurance using web portal, and call healthcare insurance companies.
Referral Coordinator /Medical Front Office
Duluth Family Practice
11.2001 - 02.2003
Referred patients to various healthcare specialists. Scheduled and pre-certified various radiology procedures. Verified healthcare insurance, and checked in an out patients and scheduled appointments.