DeShawn Thomas
Amarillo,TX
Summary
Motivated office professional in healthcare administration with expertise in patient advocacy and client relations. Adept at educating patients on financial aspects of healthcare and streamlining claims processing to enhance operational efficiency.
Overview
25
25
years of professional experience
Work History
Patient Benefit Representative
TXO AMARILLO
Amarillo, USA
08.2020 - Current
- Educated patients on financial aspects of healthcare, ensuring insurance accuracy and regulatory compliance while coordinating effectively with billing and clinical teams.
- Processed benefit claims and ensured timely submissions for approval.
- Educated employees on benefits options and enrollment procedures.
- Assisted in resolving employee inquiries regarding benefits and eligibility.
Claims Analyst III
Insurance Management Services
Amarillo, USA
11.2012 - 06.2024
- Analyzed claims to determine validity and compliance with policy guidelines.
- Collaborated with underwriters to assess risk and evaluate claims accurately.
- Processed medical, vision, and prescription insurance claims, managed provider appeals, and communicated with providers to gather necessary information.
- Reviewed documentation and communicated with clients to gather necessary information.
Sales Rep.
Light-year Wireless
Amarillo, USA
08.2011 - 12.2011
- Coordinated meetings and made 20-30 daily calls to sell products and resolve consumer issues.
- Developed strong customer relationships through effective communication and active listening.
- Provided product knowledge and support to customers for informed purchasing decisions.
- Conducted market research to identify customer needs and competitive trends.
Processor/CSR
Health Care Service Corp.
Amarillo, USA
06.2008 - 10.2010
- Processed health care claims for accuracy and compliance with company standards.
- Reviewed and processed medical and prescription claims, handling 20-30 calls daily.
- Reviewed documentation to ensure proper data entry and adherence to protocols.
- Coordinated with team members to resolve claim discrepancies and issues.
Receptionist
Davidson Oil
Amarilo, USA
10.2006 - 05.2008
- Greeted and assisted customers in a friendly and professional manner.
- Answered phones, managed email and mail distribution, processed payments, and organized invoices.
- Managed incoming calls and routed them to the appropriate departments.
- Scheduled appointments and maintained the daily calendar for staff.
Clerical Temp.
Innovative Staffing
Amarillo, USA
08.2001 - 03.2007
- Executed diverse clerical tasks, demonstrating reliability and subsequently secured two permanent roles.
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Medical Biller
BritKare Home Medical
Amarillo, USA
10.2001 - 08.2003
- Processed medical claims using billing software to ensure accurate submissions.
- Verified insurance coverage and submitted TDH electronic and DME claims for FirstCare, ensuring accurate reimbursement.
- Communicated with insurance companies to resolve billing inquiries and discrepancies.
- Reviewed patient records for completeness and compliance with regulations.
Education
Associated - Business Administration
Amarillo College
Amarillo, TX01-2016
Administrative Medical/Dental Assistant -
Academy of Professional Careers
Amarillo, TX09-2001
Skills
- Healthcare administration
- Medical terminology
- Patient advocacy
- Client relations
- Data analysis
- Project coordination
- Task management
- Deadline management
- Microsoft Office suite
- Front-desk support
- Oral communication
- Written correspondence
- Interpersonal relations
- Team player
Timeline
Patient Benefit Representative
TXO AMARILLO
08.2020 - Current
Claims Analyst III
Insurance Management Services
11.2012 - 06.2024
Sales Rep.
Light-year Wireless
08.2011 - 12.2011
Processor/CSR
Health Care Service Corp.
06.2008 - 10.2010
Receptionist
Davidson Oil
10.2006 - 05.2008
Medical Biller
BritKare Home Medical
10.2001 - 08.2003
Clerical Temp.
Innovative Staffing
08.2001 - 03.2007
Associated - Business Administration
Amarillo College
Administrative Medical/Dental Assistant -
Academy of Professional Careers