Demetria Causey
Silas,US
Summary
Healthcare Administrative Professional with extensive expertise in healthcare technology, insurance, and hospital systems. Demonstrates exceptional analytical and consultative skills, fostering strong customer relationships and enhancing brand loyalty. Passionate about leveraging advanced communication abilities to drive customer engagement and improve service delivery.
Overview
11
11
years of professional experience
Work History
Certified Tax Preparer
Demetria's Tax Service, LLC
01.2014 - Current
- Company Overview: Remote
- Prepare over 350 tax returns annually, ensuring accuracy and compliance
- Review income statements and expenditures to optimize tax solutions
- Onboard and manage a team of 15, achieving a 96% success rate in timely taxpayer assistance
- Streamlined tax preparation process, resulting in 96% success rate and efficient onboarding of 15 staff members to meet high-volume demands
- Expertly prepared over 350 business and individual tax returns annually, consistently meeting deadlines and ensuring accuracy in complex financial documentation
- Meticulously reviewed income statements and expenditure records to determine optimal tax solutions, maximizing client benefits within legal parameters
- Implemented new tax preparation software, enhancing efficiency and reducing processing time for complex returns by a substantial margin
- Remote
- Educated clients on best practices for record-keeping, minimizing future audit risks and maximizing potential deductions.
- Reduced errors in client tax returns through meticulous review and verification of financial data.
Health Information Specialist
Ciox Health
09.2022 - 11.2024
- Process 75+ daily medical record requests, ensuring accuracy for patients, providers, and legal entities
- Collaborate with healthcare providers to maintain timely, accurate documentation
- Organize and maintain patient records, ensuring HIPAA compliance
- Streamline record processing, reducing turnaround time and enhancing data accuracy
- Facilitate seamless information flow, improving patient care and provider efficiency
- Streamline medical record processing, handling high-volume requests while ensuring HIPAA compliance and data accuracy for diverse stakeholders
- Optimize workflow to efficiently manage daily record requests, fostering seamless collaboration with healthcare providers for timely documentation
- Scanned and uploaded medical records into electronic medical records system.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Streamlined the release of information process for patients, ensuring timely access to their medical records while maintaining strict confidentiality.
Medical Customer Service Representative
Aetna, Inc.
09.2017 - 02.2018
- Verified insurance coverage for over 100 customers monthly, ensuring accurate claims processing
- Entered confidential client data within guidelines, maintaining data integrity and compliance
- Exceeded daily quality assurance goals, receiving commendations for performance
- Resolved customer concerns, enhancing their understanding of insurance coverages
- Awarded for exceptional customer service, contributing to overall client satisfaction
- Streamlined insurance verification process, enhancing efficiency and accuracy for customer coverage assessments at Aetna, Inc
- Maintained meticulous records of client data, ensuring compliance with office and governmental guidelines for data security and privacy
- Resolved complex customer inquiries, educating clients on their insurance coverage details to improve understanding and satisfaction
- Managed high call volume with professionalism and empathy, ensuring timely resolution of customer concerns.
- Maintained accurate documentation for all customer interactions, contributing to a comprehensive database for future reference.
Insurance Customer Service Representative
New York Life Insurance Company
07.2015 - 06.2016
- Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
- Responded to over 50 customer requests for products, services, and company information daily.
- Documented customer interactions and transactions for accurate, up-to-date records.
Education
Associate of Applied Science - Medical Billing & Coding
Ultimate Medical Academy
Clearwater, Florida01.2025
Skills
- Billing/Invoicing
- Problem Analysis/Resolution
- Data Entry
- Typing Speed
- Advanced MS Office Suite
- Analytical Skills
- Fast-Paced Environments
- Attention to Detail
- Payroll processing
- Data inputting
- Document preparation
Jobspecificexperiences
- Identifies and resolves discrepancies as instructed by management.
- Prepares edit and submit account billing according to workplace guidelines.
- Responds to inquiries within timely manner.
- Managed data creation and entry for 200+ policyholders, ensuring accuracy and efficiency.
- Developed and maintained communication workflows between adjusters and benefit recipients.
- Led team to exceed customer service targets, enhancing service quality and performance.
- Streamlined data management processes for 200+ policyholders, enhancing accuracy and efficiency in documentation across multiple databases.
- Implemented effective communication workflows between stakeholders, ensuring timely resolution of insurance claims and improved client satisfaction.
- Developed creative solutions to complex policyholder inquiries, reducing response times and enhancing overall customer experience.
- Meticulously managed data creation and entry for extensive policyholder base, maintaining high standards of accuracy and operational efficiency.
Timeline
Health Information Specialist
Ciox Health
09.2022 - 11.2024
Medical Customer Service Representative
Aetna, Inc.
09.2017 - 02.2018
Insurance Customer Service Representative
New York Life Insurance Company
07.2015 - 06.2016
Certified Tax Preparer
Demetria's Tax Service, LLC
01.2014 - Current
Associate of Applied Science - Medical Billing & Coding
Ultimate Medical Academy
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