Summary
Overview
Work History
Education
Skills
Work Availability
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Felishia Chaney

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
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
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 KS
05.2007

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

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Felishia Chaney