Dianne Dean
Loganville,GA
Summary
To obtain a position in the healthcare field so that I can utilize my skills and work experience to gain more knowledge for future healthcare opportunities.
Customer service professional skilled in addressing provider needs and ensuring satisfaction. Consistently recognized for effective communication and problem-solving abilities. Valued for teamwork and flexibility, with strong focus on achieving results and adapting to changing situations.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Experienced with provider inquiries and issue resolution. Utilizes effective communication and problem-solving to maintain positive relationships. Track record of understanding complex provider needs and delivering timely, accurate service.
Overview
21
21
years of professional experience
Work History
Quality Specialist
Centene Corporation
5909 Ashby Dunwoody, GA
02.2014 - Current
- Conducted quality audits to ensure compliance with regulatory standards and internal policies.
- Developed and implemented quality improvement initiatives, enhancing operational efficiency across teams.
- Analyzed quality metrics to identify trends and recommend corrective actions for process enhancements.
- Collaborated with cross-functional teams to resolve quality issues and drive continuous improvement efforts.
Provider Customer Service Representative
Centene Corporation
5909 Ashby Dunwoody, Georgia
02.2015 - Current
- Response to telephone or written correspondence in a timely matter
- Provide assisting to provider regarding claims issues, research claim for correct information
- Maintain performance and quality standards according to call center metric , research and identify inaccuracy
- Excellent customer service skills
Front Office Specialist
People Health Center
St Louis, Missouri
12.2007 - 06.2014
- Check patients in a timely manner, respond to telephone inquiries and initiate step to assist caller
- Thoroughly document information, activities, and changes in database
- Develop and maintain positive customer relations with internal and external customers and coordinate with
- Receive and place follow-up telephone calls/ e-mail to answer internal and external customer questions that are routine in nature
Billing Department
Hopewell Mental Health Center
St Louis, Missouri
04.2004 - 12.2007
- Responsible for coordinating and supervising the billing department
- Contact patients by telephone to collect on outstanding accounts balances
- Answer incoming calls with superior customer service skills in response to patients needs
- Open , disputes and process patients correspondences and return patients statement
- Monitor issues with account registration, charging, and coding to ensure efficiency in the patient account process.
Education
Some College (No Degree) - Health Information Administration
University of Phoenix
St Louis, MoMedical Billing and Coding
Allied Medical College
St. Louis, Missouri05.2005
Skills
- Demonstrate skill and typing ability sufficient to function easily in a verity of hospital billing
- Self-directed and capable of working without direct supervision , ability to work well with other
- Ensures daily billing of hospital revenue and accuracy and quality of billing activities
- Dependable in both production and attendance
- CRM, AMISYS E , True Care, Portico, NexGen Software, , Electronic Claim Filing
Languages
English
Full Professional
Timeline
Provider Customer Service Representative
Centene Corporation
02.2015 - Current
Quality Specialist
Centene Corporation
02.2014 - Current
Front Office Specialist
People Health Center
12.2007 - 06.2014
Billing Department
Hopewell Mental Health Center
04.2004 - 12.2007
Some College (No Degree) - Health Information Administration
University of Phoenix
Medical Billing and Coding
Allied Medical College
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