Dyland Jean-Pierre
Tampa
Summary
Experienced in Billing, Customer Service, and Benefits Verification
Results-driven benefits specialist with expertise in navigating complex verification processes. Strong analytical skills and in-depth knowledge of insurance protocols to ensure accurate and timely benefit resolutions. Known for effective collaboration, adaptability, and steadfast commitment to achieving team goals. Highly reliable, with focus on precision and compliance in all tasks.
Overview
7
7
years of professional experience
Work History
Benefits Verification Specialist/Case Management
TEKsystems
07.2024 - Current
- Contributed and still contributing to company-wide projects aimed at improving the quality of service delivery across departments, which then creates a culture of collaboration and excellence within the organization as a whole.
- Safeguard confidential client information by adhering to strict privacy guidelines and protocols.
- Verify benefits for assigned patient cases, detailing reimbursement requirements (e.g., copays, coinsurance, utilization management, prior authorization).
- Communicate with insurance companies and agencies to resolve discrepancies and confirm benefits.
- Document case communications, ensuring compliance with HIPAA.
- Handle calls and outreach from HCPs, entering data to initiate patient enrollment.
- Monitor delays, document lessons, and identify ways to improve processing.
- Support new initiatives and process improvements (e.g., testing new system features).
- Maintain positive rapport through communication and listening.
Remote Medical Billing Specialist
Health Outsourcing Network
12.2023 - 05.2024
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Verified insurance information and submitted claims, ensuring accuracy in billing codes.
- Processed patient inquiries, explained billing statements, and resolved payment discrepancies.
- Collaborated with insurance providers to ensure smooth claim submissions and appeals for Promedica
- Maintained confidentiality of patient information, adhering to HIPAA.
Remote Medical Billing Processor/Data Entry Specialist
Wipro
08.2020 - 08.2023
- Resolved complex billing inquiries quickly and professionally.
- Improved billing efficiency by optimizing workflows and using new software tools.
- Processed healthcare inquiries, managed accounts, and verified insurance coverage.
- Communicated effectively with clients, ensuring all billing and payment information was up to date.
- Documented changes to subscriber information and resolved account discrepancies.
- Assisted in medical billing data entry, focusing on accuracy and attention to detail.
- Optimized cash flow by diligently monitoring overdue accounts and initiating collections procedures when necessary.
- Analyzed billing data to identify trends, making recommendations for process improvements or additional training needs.
Customer Service Representative
TruGreen
09.2019 - 03.2020
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Managed client records and appointments, providing customer support regarding services and policies.
- Maintained detailed accounts of client interactions, ensuring accuracy for follow-up.
Sales Professional
Zippy Shell USA
04.2018 - 11.2018
- Achieved high levels of customer satisfaction by providing exceptional after-sales service, including issue resolution and future needs analysis.
- Built strong relationships with customers through personalized service, enhancing client loyalty and repeat business.
- Conferred with existing and potential customers to assess requirements and propose optimal solutions.
- Provided timely and effective resolutions to problems, securing clients and ensuring satisfaction.
- Scheduled moves and processed payments, interacting with clients to verify service details and insurance coverage where applicable.
- Provided outstanding customer service, which helped to exceed sales targets and enhance customer satisfaction
- Conducted in-depth market research and competitor analysis to identify sales opportunities.
- Utilized CRM systems to manage leads, track sales activities, and improve pipeline accuracy.
- Negotiated favorable contracts with clients, securing long-term partnerships and steady revenue streams.
Education
High School Diploma -
Poinciana High School
Kissimmee, FL06-2013
Skills
- Accuracy and precision
- Healthcare regulations
- Policy interpretation
- Verbal and written communication
- Medical Billing & Coding
- Microsoft Office Proficiency
- HIPAA Compliance
- Case Management Systems
- Insurance Verification
- Benefits explanation
- Special projects
- Leadership skills
Accomplishments
- Actively engaged in 6 ongoing special projects, contributing to organizational goals.
- Consistently recognized as a top producer during the AR season, exceeding productivity targets set by leadership.
- Completed over 900 cases independently from December to the present, demonstrating efficiency and dedication.
- Achieved double-digit productivity daily since January 2025, maintaining high performance levels.
- Currently serving as a Compliance Subject Matter Expert and consistently providing backup expertise to the benefit verification team in matters outside of compliance as well.
- Received recognition from multiple managers for exemplary handling of complex and challenging situations.
- Passed Compliance Audit
- Over 10 years of customer service experience with a proven track record of delivering exceptional results.
Timeline
Benefits Verification Specialist/Case Management
TEKsystems
07.2024 - Current
Remote Medical Billing Specialist
Health Outsourcing Network
12.2023 - 05.2024
Remote Medical Billing Processor/Data Entry Specialist
Wipro
08.2020 - 08.2023
Customer Service Representative
TruGreen
09.2019 - 03.2020
Sales Professional
Zippy Shell USA
04.2018 - 11.2018
High School Diploma -
Poinciana High School
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