Cynthia Bethea
Winston-Salem,NC
Summary
Experienced Service Representative with 20 years in healthcare, focusing on patient advocacy and education. Enhanced operational efficiency in high-volume environments while prioritizing positive patient and staff interactions. Strong organizational skills and a patient-centered approach drive successful service delivery.
Overview
2
2
Languages
38
38
years of professional experience
Work History
Patient Services Coordinator III
Novant Health
08.2022 - Current
- Conduct structured assessments while maintaining high-accuracy documentation within regulated systems.
- Analyze eligibility and service data, ensuring compliance and informed decision-making for service delivery.
- Collaborate cross-functionally, enhancing operational efficiency and maintaining quality standards in patient services.
- Scheduled patient appointments and coordinated provider calendars using electronic health record systems.
- Communicated appointment instructions and follow-up details to patients and clinical staff.
Disability Claims Manager
National General Insurance Company
11.1988 - 12.2015
- Reviewed complex case documentation to determine eligibility, ensuring adherence to structured criteria.
- Ensured compliance with federal regulations and internal audit standards to uphold organizational integrity.
- Communicated evidence-based determinations to stakeholders, facilitating informed decision-making.
- Managed healthcare and insurance claims for 27+ years, emphasizing compliance documentation integrity, fraud analysis, and training.
- Directed claims adjudication workflows to ensure timely, accurate benefit determinations.
Education
M.S. - Industrial-Organizational Psychology
Southern New Hampshire University
11-2026
B.S. - Psychology
University of Phoenix
01-2019
Skills
- Electronic Health Records Advanced Excel
- Reliability & Validity Analysis
- Job Analysis & Competency Modeling
- Survey & Assessment Design
- Data Interpretation & Reporting
- Healthcare compliance
- Confidential & Ethical Data Handling
- Talent assessment
- Compliance Standards
- Patient Care Coordination
Languages
English
Native or Bilingual
Spanish
Limited Working
Timeline
Patient Services Coordinator III
Novant Health
08.2022 - Current
Disability Claims Manager
National General Insurance Company
11.1988 - 12.2015
B.S. - Psychology
University of Phoenix
M.S. - Industrial-Organizational Psychology
Southern New Hampshire University