Denise Jones
Cayce,SC
Overview
11
11
years of professional experience
Work History
Healthcare Customer Service Representative
Quality health
Columbia, South Carolina
02.2023 - 05.2026
- Assisted patients and providers with insurance-related questions, authorization status updates, and account information.
- Verified insurance eligibility and benefits for medical services and supplies.
- Maintained accurate patient documentation while ensuring HIPAA compliance.
- Communicated with insurance payers regarding claims, coverage, and authorization requirements.
- Managed high-volume inbound and outbound calls while maintaining professionalism and accuracy.
- Entered and updated patient information using healthcare software and payer portals.
- Coordinated with healthcare teams to resolve billing and insurance issues efficiently.
Administrative / Billing Support Specialist
Sedgwick
05.2019 - 02.2023
- Supported healthcare billing and administrative operations in a fast-paced office environment.
- Processed insurance claims and reviewed documentation for accuracy and completeness.
- Assisted patients with payment inquiries, insurance forms, and account updates.
- Maintained organized records and confidential patient information.
- Provided customer support through phone, email, and in-person communication.
- Worked independently to prioritize tasks and meet departmental deadlines.
Customer Service Representative
Foundever
Sumter, SC
09.2015 - 05.2019
- Provided professional customer service, resolving account-related concerns to enhance customer satisfaction.
- Executed data entry, scheduling, and documentation with meticulous attention to detail, ensuring accuracy in all tasks.
- Maintained accuracy while managing multiple responsibilities simultaneously.
- Managed multiple responsibilities simultaneously while maintaining high accuracy in service delivery.
Education
High School Diploma -
Wilson High
Florence, SCSkills
- Claims & Billing Assistance
- Healthcare Administrative Support
- Patient Account Coordination
- Medical Records & Documentation
- HIPAA Compliance & Confidentiality
- Healthcare Billing Software
- Microsoft Office Suite
- Microsoft Word
- Excel
- Outlook
- Record management
- Time Management & Multitasking
- Strong organizational and analytical skills
- Independent work
- Professional communication
- Patient Engagement
Timeline
Healthcare Customer Service Representative
Quality health
02.2023 - 05.2026
Administrative / Billing Support Specialist
Sedgwick
05.2019 - 02.2023
Customer Service Representative
Foundever
09.2015 - 05.2019
High School Diploma -
Wilson High