Delrice Walker
Covington,LA
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
14
14
years of professional experience
Work History
Eligibility Representative
Accredo Specialty Pharmacy
11.2020 - Current
- Collaborated with team members to maintain accurate records and provide seamless service for applicants.
- Enhanced client satisfaction by efficiently processing eligibility applications and addressing inquires.
- Ensured timely resolution of discrepancies by conducting thorough research and documentation.
- Developed strong relationships with clients regarding program rules, regulations, and updates.
Patient Services Representative
TriWest Healthcare Alliance
05.2019 - 04.2020
- Maintained patient confidentiality by adhering to HIPPA regulations and diligently updating records as needed.
- Assisted with patient registration, insurance verification, and appointment scheduling.
- Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
- Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
Patient Access Representative
Nthrive
07.2017 - 03.2019
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical records.
- Verified insurance coverage for services provided by the facility.
- Followed up on unpaid claims in a timely manner.
- Secured patient information and confidential medical records in compliance with HIPPA privacy rule standards to protect patient's privacy.
Revenue Cycle Representative
Marginal Recovery International
07.2013 - 07.2017
- Conducted root cause analysis on denied claims, implementing corrective measures to prevent future denials and protect revenues.
- Worked with patients to appeal insurance decisions and coordinated with providers to resolve problems.
- Conducted follow-up on unpaid or partially paid claims.
- Participated in regular audits, proactively addressing any issues identified to minimize financial risks to the organization.
Patient Advocate
Conifer Healthcare Solutions
04.2010 - 07.2013
- Verified demographics and insurance information to register patients in computer system.
- Facilitated communication between providers, patients, and family members.
- Conducted research on health insurance policies to ensure compliance with laws and regulations.
- Contributed to team meetings, sharing insights and strategies for improving patient access services.
Education
Associate of Science -
Herzing University
Dearborn, MI04-2019
Warren Easton Senior High School
New Orleans, LAPenn Foster Career School
Scranton, PASkills
- Client Relationship Building
- Insurance knowledge
- Telephone Etiquette
- Effective communication skills
- Data Entry
- Microsoft Office
- Word Processing
- Quality Assurance
- Insurance Eligibility
- Microsoft Excel certified
Timeline
Eligibility Representative
Accredo Specialty Pharmacy
11.2020 - Current
Patient Services Representative
TriWest Healthcare Alliance
05.2019 - 04.2020
Patient Access Representative
Nthrive
07.2017 - 03.2019
Revenue Cycle Representative
Marginal Recovery International
07.2013 - 07.2017
Patient Advocate
Conifer Healthcare Solutions
04.2010 - 07.2013
Associate of Science -
Herzing University
Warren Easton Senior High School
Penn Foster Career School