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 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
swipe to browse
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