HOPE SINGLETON
Walker,USA
Summary
Healthcare professional well-versed in triage protocols and patient prioritization. Proven ability to streamline processes and enhance patient care through efficient coordination and communication. Strong emphasis on teamwork, adaptability, and delivering quality outcomes. Skilled in patient assessment and decision-making.
Overview
6
6
years of professional experience
Work History
Admin1 /Data Entry/Triage Specialist
Maxim Integrated
12.2024 - Current
- Demonstrated respect, friendliness, and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked flexible hours across night, weekend, and holiday shifts.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Led quality assurance initiatives to maintain high standards in patient assessment outcomes.
- Completed paperwork, recognizing discrepancies, and promptly addressing for resolution.
- Obtained case history and gathered triage information to determine appropriate avenue for care.
- Verified, updated and communicated patient history prior to clinic appointments and procedures with providers.
- Suggested appropriate disposition to acting physicians based on assessment.
- Collaborated with multidisciplinary teams to develop efficient triage protocols for various medical emergencies.
Claims Processor
Blue Cross Blue Shield
05.2024 - 11.2024
- Reviewed and analyzed high volume of claims to ensure accuracy, completeness, and compliance with company policies while meeting strict deadlines for approvals, payments, denials, and reporting
- Worked productively in fast-paced work environment
Patient Care Coordinator
Optimum Health Options
03.2024 - 05.2024
- Managed sensitive patient information with strict adherence to HIPAA guidelines, always maintaining confidentiality and privacy
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic in a timely manner
- Researched and resolved billing discrepancies to enable accurate billing
Healthcare Customer Service Representative
Elevance Health
11.2022 - 01.2024
- Ensured compliance with HIPAA regulations when handling sensitive patient information, always protecting client privacy
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries while also resolving customer complaints with empathy, resulting in increased loyalty and repeat business
- Took on crisis calls
- Went over detailed information about benefits and explained thoroughly, helped find doctors in the in network for the member
Pharmacy Clerk
Walker Pharmacy
09.2020 - 11.2022
- Verified prescription information prior to entry in pharmacy computer system
- Established and maintained patient profiles, updating organizational database with current information
- Stayed informed on industry advancements through continuous professional education opportunities
Education
Associate Degree - Applied Science
Southern University and A&M College
03-2024
GED -
Adult Education
Walker, LA05-2018
Skills
- Claims Processing
- Insurance Verification
- HIPAA Compliance
- Customer Service
- Billing Systems
- ICD Coding
- CPT Coding
- Microsoft Proficient
- Data Entry and Analysis
- Detailed Coverage Explanation
- Medicare
- Medicaid
- Healthcare systems
- Incident management
- Task delegation
- Information gathering
- Excel functions
- Data formatting
- Microsoft Access
Timeline
Admin1 /Data Entry/Triage Specialist
Maxim Integrated
12.2024 - Current
Claims Processor
Blue Cross Blue Shield
05.2024 - 11.2024
Patient Care Coordinator
Optimum Health Options
03.2024 - 05.2024
Healthcare Customer Service Representative
Elevance Health
11.2022 - 01.2024
Pharmacy Clerk
Walker Pharmacy
09.2020 - 11.2022
Associate Degree - Applied Science
Southern University and A&M College
GED -
Adult Education