Deanna Collins
Viera,FL
Summary
Detail-oriented Professional Healthcare Representative and Customer service specialist bringing 15 years of experience in vast environments. Decisive planner with excellent communication and healthcare oversight skills. Demonstrated extreme attention to detail to ensure accuracy of medical records, with customer satisfaction top priority.
Overview
8
8
years of professional experience
Work History
Quality Field Operations/ PPS
United healthcare / optum
Melbourne, FL
02.2019 - 03.2024
- Working remotely, assisting in the review of medical records to highlight Star opportunities for the medical staff.
- Activities include data collection, data entry, quality monitoring, uploading of images, and chart collection activities.
- Locate medical screening results/documentation to ensure quality measures are followed in the closure of gaps. Will not conduct any evaluation or interpretation of clinical data.
- Track appointments and document information completely and accurately in all currently supported systems, in a timely manner.
- Optimize customer satisfaction, and positively impact the closing of gaps in care and productivity.
Service Account Manager NEC
United Healthcare
Melbourne, FL
08.2016 - 02.2019
- Working remotely: keeping records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
- Check to ensure that appropriate changes were made to resolve customers' problems.
- Refer unresolved customer grievances to designated departments for further investigation.
- Review insurance policy terms to determine whether a particular loss is covered by insurance.
- Contact customers to respond to inquiries, to notify them of claim investigation results, or any planned adjustments.
- Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
- Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
Education
Some College (No Degree) - Business
Palm Beach Community College
West Palm BeachSkills
- Claims
- HIPAA knowledge
- Organizational abilities
- Critical decision-making
- HIPAA
- Insurance claims management
- Telephone Etiquette
- Claim validity determination
- Insurance claims processing
- Customer service
- Quality assurance checks
- Meticulous recordkeeping
- Insurance Claims
- Medical terminology
- Records security practices
- Electronic Medical Records
- Medical Records Maintenance
- Medical Records Requests
- Medical Records Documentation
- Medical Records Review
- Medical Records Management
- Electronic medical records management
- Electronic medical records (EMR) systems
- Medical charts and records
- Medical Data Collection
Timeline
Quality Field Operations/ PPS
United healthcare / optum
02.2019 - 03.2024
Service Account Manager NEC
United Healthcare
08.2016 - 02.2019
Some College (No Degree) - Business
Palm Beach Community College
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