Healthcare administrative professional supporting patient service operations, scheduling, insurance verification, records management, and billing support. Handles patient and insurance data across multiple systems, resolves discrepancies, and maintains accurate documentation while following HIPAA and confidentiality standards.
Overview
1
1
Certification
4
4
years of professional experience
Work History
Customer Service Representative
THE CIGNA GROUP / ALLEGIANCE
04.2026 - Current
Reviewed and verified member eligibility, benefits, coverage, deductibles, copayments, and out-of-pocket information across multiple healthcare systems to ensure accurate member support.
Research healthcare benefit and eligibility questions and provide accurate information based on plan documentation and established procedures.
Navigate multiple databases and healthcare systems simultaneously to research account information and resolve discrepancies.
Coordinated communication with internal departments and plan representatives to effectively resolve account, eligibility, and coverage issues, and enhance service delivery.
Accurately document member interactions, account information, research findings, and resolutions while maintaining detailed electronic records.
Ensured safeguarding of protected health information (PHI) to maintain privacy and confidentiality. in accordance with HIPAA, privacy, confidentiality, and company compliance requirements.
Adapt to new systems, processes, and healthcare requirements in a fast-paced remote environment.
Medical Office Assistant / Scheduler
MEMPHIS CHILDREN'S CLINIC / LEBONHEUR PEDIATRICS
08.2025 - 04.2026
Scheduled and coordinated patient appointments to optimize clinic flow and ensure timely care delivery.
Verified insurance eligibility and coverage to facilitate seamless patient access to services.
Assisted with patient check-in and check-out, streamlining documentation and administrative workflows.
Communicated with patients, clinical staff, and office personnel to coordinate scheduling and administrative needs.
Updated patient records and verified information to support accurate medical office operations.
Collected and documented required patient and insurance information.
Maintained confidentiality of patient information and followed HIPAA requirements.
Managed multiple administrative responsibilities while maintaining accuracy and attention to detail.
Medical Receptionist / Front Desk / Billing / Ophthalmic Technician
DEEP BLUE RETINA
08.2022 - 06.2025
Managed patient scheduling, registration, check-in/check-out, demographic updates, and appointment coordination.
Verified insurance eligibility, deductibles, copayments, balances, and coverage requirements.
Coordinated billing information, payments, account adjustments, and resolved claim-related issues to ensure accurate processing.
Entered and updated patient information and insurance data in electronic healthcare systems.
Prepared and maintained patient charts and documentation for clinical visits.
Researched account discrepancies and effectively communicated with insurance companies and internal staff to resolve issues promptly.
Assisted clinical staff with patient flow and ophthalmic testing, including vision and eye-pressure checks.
Education
Certificate of Technical Studies - Medical Office Professional
CONCORDE CAREER COLLEGE
Southaven, MS
12-2022
High School Diploma -
Potts Camp High School
Potts Camp, MS
05-2010
Skills
Insurance Eligibility Verification
Coverage verification
Patient Data Management
Patient Records Management
EHR management
Data verification
Medical Scheduling
Account Documentation
Recordkeeping
Administrative Support
HIPAA compliance
System navigation
Multiple-Database Navigation
Computerized Scheduling Systems
Healthcare Databases
Microsoft Office EleMicrosoft WordHealthcare DatabasesOffice suite skillsduliAttention to Detailtion Systems Multiple-Database Navigation
Certification
Microsoft Office Specialist – Word Associate
CPR Certified
Timeline
Customer Service Representative
THE CIGNA GROUP / ALLEGIANCE
04.2026 - Current
Medical Office Assistant / Scheduler
MEMPHIS CHILDREN'S CLINIC / LEBONHEUR PEDIATRICS
08.2025 - 04.2026
Medical Receptionist / Front Desk / Billing / Ophthalmic Technician
DEEP BLUE RETINA
08.2022 - 06.2025
Certificate of Technical Studies - Medical Office Professional