Summary
Overview
Work History
Education
Skills
Key Qualifications
Timeline
Hi, I’m

Erica Barclay

Detroit,MI
Erica Barclay

Summary

Customer service-oriented professional, able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy.

Knowledgeable professional with strong background in delivering high-quality customer support and resolving client issues effectively. Proven ability to handle diverse customer inquiries and maintain high satisfaction ratings. Demonstrated communication and problem-solving skills to enhance customer experiences.

Overview

12
years of professional experience

Work History

Teleperformance

Customer Service Associate (Remote - HealthNet)
01.2024 - Current

Job overview

  • Speak with providers on behalf of members and Provide proof of insurance
  • Work with transportation services to schedule pick up and drop off for members
  • Help with scheduling translator for members at their doctor’s appointment
  • Speak with members about continual of care
  • Assist members with change of PCP and PPG
  • Document and log calls through serval systems and software
  • Managed approximately 25-40 per day
  • 5-15 faxes sent/received per day
  • Prioritized tasked using time management and organizational skills

Magick By CanDee LLC

Owner / Retail Sales
09.2020 - Current

Job overview

  • Oversee online store for interior design products/services, complete marketing initiatives for company, maintain inventory and order supplies
  • Process payments
  • Create advertisements
  • Operate equipment
  • Package and ship orders to customer
  • Increased revenue by 30% in 3 months through advertising sales and promotions

Homemaker
06.2016 - Current

Job overview

  • Ensure household duties are completed in a timely manner and manage household budget
  • Coordinate medical care, meals, and social activities
  • Remain deadline-oriented and reliable while adjusting priorities and managing time wisely
  • Oversee young individuals and manage activities, studies and arts/skills on a daily basis
  • Three honor roll students above 3.5 GPA

Teleperformance
Detroit, Oregon

Customer Service Representative (Remote -WellCare)
10.2023 - 01.2024

Job overview

  • Prioritized tasks
  • Managed approximately 30-50 calls per shift
  • Take in bound and make out bounds calls while abiding by HIPPA regulations
  • Assist with prescription drug coverage
  • Access to formularies
  • Provide general information on company to members and non-members
  • Help members with denial claims, and grievance and appeals
  • Give explanation of benefits to members

Harper Woods High School
Harper Woods, Michigan

Dance Instructor
09.2014 - 06.2016

Job overview

  • Choreographed and taught age appropriate dance routines and techniques to students
  • Documented attendance, coordinated music, and acted as a mentor to create a positive learning environment
  • Supervised students on field trips and performances and ensured safety
  • Mentored Youth
  • Conducted auditions
  • Structured class operations

Wendy's
Clinton Township, Michigan

Cashier / Customer Service
11.2012 - 01.2014

Job overview

  • Trained new hires and performed various tasks including food production and serving customers at the drive thru
  • Took orders, operated cash register, accepted payments, and made accurate change
  • Ensured accuracy of cash drawer, monitored food temperatures, discarded expired food items, maintained a clean and organized workstation and guest area
  • Worked in a fast paced, team environment and communicated effectively with managers and co-workers
  • Increased revenue 25% using fast, courtesy and customer service skills

Education

University of Phoenix
Tempe, AZ

Bachelor of Arts from Business Management
03-2027

Ultimate Medical Academy
Tampa, FL

Associate of Science from Medical Billing and Coding
01.2023

Detroit School of Arts
Detroit, MI

High School Diploma
06.2002

Skills

  • Medical Billing, Medical Coding (ICD-10-CM, CPT), Insurance Verification, Claim Processing
  • Accounts Receivable, Collections, Co Pay, Deductibles
  • CMS 1500, 1450 (UB-04)
  • Front Office Operations, Scheduling, Medical Office Procedures
  • Electronic Health Records (EHR), Electronic medical Records (EMR)
  • Medical Terminology, Anatomy & Physiology
  • HIPAA Compliance, EOBs, HCPCS, Co-Insurance
  • Customer support, Customer service, Customer complaint resolution
  • Product knowledge, Complaint handling, Complex Problem-solving, Team collaboration

Key Qualifications

  • Medical Billing
  • Accounts Receivable
  • Collections
  • Co-Pay
  • Deductibles
  • Insurance Verification
  • Insurance Claim Processing
  • CMS 1500
  • CMS 1450 (UB-04)
  • Front Office Operations
  • Electronic Health Records (EHR)
  • Electronic Medical Records (EMR)
  • Scheduling
  • Medical Terminology
  • Anatomy & Physiology
  • HIPAA Compliance
  • Co-Insurance
  • EOBs
  • Medical Coding (ICD-10-CM, HCPCS, CPT)
  • Medical Office Procedures

Timeline

Customer Service Associate (Remote - HealthNet)

Teleperformance
01.2024 - Current

Customer Service Representative (Remote -WellCare)

Teleperformance
10.2023 - 01.2024

Owner / Retail Sales

Magick By CanDee LLC
09.2020 - Current

Homemaker

06.2016 - Current

Dance Instructor

Harper Woods High School
09.2014 - 06.2016

Cashier / Customer Service

Wendy's
11.2012 - 01.2014

Detroit School of Arts

High School Diploma

University of Phoenix

Bachelor of Arts from Business Management

Ultimate Medical Academy

Associate of Science from Medical Billing and Coding