Felishia Chaney
Fort Worth,TX
Summary
Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success.
Overview
9
9
years of professional experience
Work History
Insurance Verification/Precertification Specialist
Central Imaging Of Arlington
Arlington, TX
11.2021 - Current
- Coordinated patient scheduling, check-in, check-out and payments for billing for over 50 patients per day.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Completed clerical duties and tasks for clinic administration.
- Obtained insurance pre-authorizations to enable timely patient procedures and scheduled appointments.
- Updated patient records with accurate, current insurance policy information
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Customer Service Representative II
Aetna, A CVS Health
Arlington, TX
06.2014 - 08.2021
- Handled customer inquiries and suggestions courteously and professionally.
- Answered customer telephone calls promptly to avoid long wait times.
- Answered provider inquiries via email, telephone and written correspondence.
- Reviewed and discussed provider contracts to ensure proper payment on claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Verified and discussed patient insurance coverage and benefits for medical claims/
- Identified and resolved discrepancies between patient information and claims data.
- Followed up on denied claims to verify timely patient payment and resolution.
- Answered over 250 calls per shift to meet fast-paced call center demands.
Education
High School Diploma -
Wichita Heights High
Wichita KS05.2007
Skills
- Complaint resolution
- Money handling abilities
- Administrative support
- Medical terminology knowledge
- Professional telephone demeanor
- Typing 45 wpm
- Customer support
- Logging call information
- Insurance Verification
- High call volume
- Insurance Terminology
- Insurance Plan Verification
- Referral Coordination
- Medical Terminology
- Payment Plan Options
- Medical Records Verification
- CPT Coding
- Data Entry
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Step out of the familiar and step into greatness! Yes, you are Great!
Felishia Chaney
Timeline
Insurance Verification/Precertification Specialist
Central Imaging Of Arlington
11.2021 - Current
Customer Service Representative II
Aetna, A CVS Health
06.2014 - 08.2021
High School Diploma -
Wichita Heights High