Derek Traylor
Cary,NC
Summary
Results-driven professional with expertise in customer service, insurance verification, medical billing, and claims support. Specializes in resolving issues, analyzing discrepancies, and collaborating with insurance providers and internal teams for efficient resolutions. Demonstrates strong problem-solving and organizational skills, ensuring accuracy and service quality in fast-paced environments.
Overview
4
4
years of professional experience
Work History
Claims Escalation Specialist
Fast Pace Urgent Care
Remote- Based in Nashville, TN
06.2026 - Current
- Prevented key account losses by researching discrepancies and correcting problems.
- Managed multiple customer accounts simultaneously while providing superior service.
- Documented detailed reports of all escalations and resolutions.
Patient Advocate
Fast Pace Urgent Care
Remote- Based in Nashville, TN
08.2025 - 06.2026
- Investigated and resolved claim denials, insurance discrepancies, and account balances promptly to enhance patient satisfaction and maintain financial accuracy.
- Handled high-volume inbound and outbound calls on patient billing, insurance claims, and payment inquiries to ensure clear communication and resolution.
- Coordinated communication across departments using Experity, Waystar, and Microsoft Teams to streamline account updates and improve operational efficiency.
Shift Supervisor
Starbucks
Garner, NC
01.2025 - 08.2025
- Led and supported a team of baristas during high-volume shifts, ensuring efficient operations and excellent customer service.
- Resolved customer concerns professionally, improving guest satisfaction.
- Handled cash management, safe counts, and deposits with accuracy and accountability.
Barista
Starbucks
Garner, NC
11.2022 - 01.2025
- Crafted high-quality beverages and food items to maintain customer satisfaction in a fast-paced environment.
- Provided friendly customer service to foster a welcoming and positive atmosphere for customers.
- Partnered with team members to streamline shift operations and achieve performance targets.
Education
Bachelor of Arts (B.A.) - Sports Business
University of Arizona
Tempe, AZ12-2025
Associate in Arts (A.A.) -
Wake Technical Community College
Raleigh, NC05-2021
Skills
- Claims analysis
- Claims processing
- Data analysis
- Microsoft Excel
- Caseload management
- Project management
- Dispute resolution
- Proactive problem-solving
- Verbal and written communication
- Relationship building
- Information gathering
Timeline
Claims Escalation Specialist
Fast Pace Urgent Care
06.2026 - Current
Patient Advocate
Fast Pace Urgent Care
08.2025 - 06.2026
Shift Supervisor
Starbucks
01.2025 - 08.2025
Barista
Starbucks
11.2022 - 01.2025
Bachelor of Arts (B.A.) - Sports Business
University of Arizona
Associate in Arts (A.A.) -
Wake Technical Community College