Desiree Kelly
Greenfield,IN
Summary
Results-driven Database Administrator with a proven track record in enhancing patient and provider satisfaction at PCG Indiana. Expertise in HIPAA compliance and a strong command of Microsoft Office Suite have led to streamlined operations, resulting in improved claims processing efficiency and billing accuracy. Passionate about leveraging technology to deliver exceptional customer service and operational excellence.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Customer Service
PCG Indiana
12.2020 - Current
- Help providers with on-line portal access for the billing of therapy services
- Assist providers and parents with reviewing claims that have been billed to commercial insurance or the state
- Assist providers in submitting claims and service log for services
- Programs that are utilized daily; Salesforce, Five Nine system, Amazon dynamics, Amazon phone
Customer Service
Atrio Health Plans
Salem, USA
10.2019 - 11.2020
- Hired full time from Express Employment
- Answer calls from medical providers and members
- Take premium payments
- Review medical claims with provider and members
Temp at Atrio Health Plans
Express Employment Professionals
Salem, USA
08.2019 - 10.2019
- Answer calls from medical providers and members
- Take premium payments
- Review medical claims with provider and members
Front Desk Receptionist
Counseling Center
Albany, USA
05.2017 - 09.2017
- Hired in full time Counseling Center Albany Oregon
- Same duties as when I was a temp though the Select Temps
- Verified accuracy of financial data
- Carefully wrote down all phone messages and relayed them to the appropriate personnel
- Greeted each patient pleasantly and provided the desk sheet for sign-in
- Collected deposits, fees and payments
Front Desk Receptionist
Select Temps
Albany, USA
12.2016 - 05.2017
- Verified accuracy of financial data
- Carefully wrote down all phone messages and relayed them to the appropriate personnel
- Greeted each patient pleasantly and checked them into the computer software
- Collected deposits, fees, and payments
- Answered the phone with in the second ring and greeted callers enthusiastically
- Greeted customers and visitors in-person and via telephone calls
Medicare Advantage CA III
Blue Cross of Idaho
Meridian, USA
04.2015 - 11.2016
- Hired full time from Adecco Staffing
- Handling high call volumes
- Helped members with any questions or concerns they have about their Medicare advantage policies
- Researched the necessary information to further help members when needed
- Reviewed claims with medical providers
Temp
Blue Cross of Idaho
Meridian, USA
09.2014 - 04.2015
- Handling high call volumes
- Helped members with any questions or concerns they have about their Medicare advantage policies
- Researched the necessary information to further help members when needed
- Reviewed claims with medical providers
Machine Operator
Scentsy
Meridian, USA
10.2011 - 12.2013
- Worked under stressful conditions at times to meet deadlines
- Inspected product for defects
- Production and assembly lines
Temp
Scentsy
Boise, USA
10.2010 - 10.2011
- Worked under stressful conditions at times to meet deadlines
- Inspected product for defects
- Production and assembly lines
Customer Service
Idaho Press Tribune
Nampa, USA
05.2006 - 03.2008
- Promoted from part time collector to full time customer service
- Answered phones
- Helped customers with subscriptions and processed payments
- Ran day end sales reports
Collections
Valentine and Kebartas
Caldwell, USA
01.2005 - 12.2005
- Outbound calls to set up payments for accounts placed in collections
- Used the computer data base to access and input customer information
- Collected payment information for accounts
Education
Medical Coding and Billing Professional -
Career Step
11.2024
MA - Health Administration Information Systems
Stevens-Henager
Boise, IDBachelors - Health Administration
University of Phoenix
Tempe, AZSkills
- Database administration
- HIPAA compliance
- Patient scheduling
- MS-1500 billing forms
- Detail-Oriented Analysis
- Collections Oversight
- Basic Point-of-Sale Operation
- CIM
- Cisco
- CMS
- CA III
- Database
- Health Insurance Knowledge
- Medical billing
- Medical terminology
- Experienced in Microsoft Office Suite
- Coding
- Sales
- Sales reports
- Phones
- Outstanding customer service
Certification
- CMS certification, 2014, 2015, 2016, 2019, 2020
- BCI Compliance Training, 2014, 2015, 2016
- SQM World Class, 2016
Additional Information
I have a great letter of recommendation from the supervisor at Blue of Idaho that I can provide if requested.
Affiliations
- Reading
- Learning new skills
- Drag racing
- Family time
References
References available upon request.
Timeline
Customer Service
PCG Indiana
12.2020 - Current
Customer Service
Atrio Health Plans
10.2019 - 11.2020
Temp at Atrio Health Plans
Express Employment Professionals
08.2019 - 10.2019
Front Desk Receptionist
Counseling Center
05.2017 - 09.2017
Front Desk Receptionist
Select Temps
12.2016 - 05.2017
Medicare Advantage CA III
Blue Cross of Idaho
04.2015 - 11.2016
Temp
Blue Cross of Idaho
09.2014 - 04.2015
Machine Operator
Scentsy
10.2011 - 12.2013
Temp
Scentsy
10.2010 - 10.2011
Customer Service
Idaho Press Tribune
05.2006 - 03.2008
Collections
Valentine and Kebartas
01.2005 - 12.2005
Medical Coding and Billing Professional -
Career Step
MA - Health Administration Information Systems
Stevens-Henager
Bachelors - Health Administration
University of Phoenix
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