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Open To Work
Justyce Lane
Patient Care Advocate
Starkville,MS
Summary
Detail-oriented Medical Billing and Coding diploma graduate with comprehensive academic training in ICD-10-CM, CPT, and HCPCS coding guidelines. Adept at medical terminology, anatomy, and accurate data entry with a strong commitment to compliance and reducing error rates. Eager to bring foundational knowledge and sharp analytical skills to a dynamic healthcare team.
Overview
6
6
years of professional experience
2
2
years of post-secondary education
Work History
Customer Care Coordinator
Evolent Health
Arlington, VA (Remote)
03.2025 - 08.2026
- Assisted customers in navigating claims procedures and understanding policy details.
- Educated clients on coverage options, enhancing their understanding of policy benefits.
- Verified eligibility and compliance with authorization requirements for service providers.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
- Communicated with healthcare providers to obtain necessary documentation for approval processes.
- Assisted customers with inquiries regarding healthcare services and insurance processes.
Amex IBCC CPS
Concentrix
Newark, CA (Remote)
06.2024 - 12.2024
- Built long-lasting client relationships, providing exceptional customer service and personalized assistance.
- Streamlined application processes, ensuring timely submissions of documentation for faster approval rates.
- Achieved sales goals consistently with effective communication skills, persuasive presentations, and strong product knowledge.
- Recommended products and services to meet customers' credit card and banking needs.
Customer Service Representative I
Noridian Healthcare Solutions
Fargo, ND (Remote)
07.2022 - 04.2024
- Developed in-depth understanding of insurance policies and procedures.
- Maintained up-to-date knowledge of regulatory changes, ensuring company compliance and minimizing legal risks.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Reduced claim resolution times with thorough documentation and timely follow-up.
- Delivered personalized customer service, addressing policyholder concerns and clarifying coverage details.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Customer Service Representative
Asurion Insurance Services
Nashville, TN (Remote)
05.2021 - 07.2022
- Developed comprehensive insurance proposals tailored to client needs, enhancing client engagement and satisfaction.
- Managed policy renewals and modifications, ensuring compliance with regulatory requirements and company standards.
- Built strong relationships with clients through regular follow-ups, fostering trust and retention.
- Developed strong relationships with clients through consistent communication and exceptional customer service.
- Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
- Resolved customer inquiries and concerns to enhance retention rates.
Customer Service Representative I
Cigna Group
St Louis, MO (Remote)
10.2026 - Current
- Handle an average of 70–80 back-to-back inbound calls daily from members, providers, and pharmacies concerning Pharmacy Benefit Management (PBM), Medicare, and mail-order prescriptions.
- Toggle across multiple screens and software applications simultaneously to look up real-time member benefits, update conversion requests, and provide shipment statuses.
- Coordinate with physician offices via phone or fax to obtain new prescriptions, check coverage approvals, and facilitate smooth transitions to home delivery.
- Resolve customer complaints using independent problem-solving skills aimed at one-call resolution, while meeting or exceeding strict call center performance metrics.
Customer Service Representative
Continuum GBL
Dallas, TX (Remote)
08.2020 - 05.2021
- Resolved technical issues via phone for diverse customer queries.
- Diagnosed software and hardware problems, providing step-by-step solutions to enhance user experience.
- Documented support interactions in ticketing system to ensure accurate tracking and follow-up.
- Resolved billing inquiries, ensuring customer satisfaction and accurate account management.
- Analyzed customer accounts for discrepancies, implementing solutions to prevent recurrence.
- Educated customers on billing policies and procedures, improving overall understanding and compliance.
Education
Diploma - Medical Billing and Coding
Penn Foster Career School
Scranton, PA (Online Self-Paced) 12.2024 - Current
Skills
- Medicare and Medicaid Determination
- Data Entry Accuracy
- Claims Management
- Proficient in Medical Terminology
- Understanding of HIPAA standards
- Authorizations Management
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Interests
Trivia
Psychology
Astrology
Novel Writing
Medical Coding Projects/Assignments
Healthcare Claim Management
Travel
Singing
Quote
Three things in human life are important. The first is to be kind. The second is to be kind. And the third is to be kind.
Henry James
Timeline
Customer Service Representative I
Cigna Group
10.2026 - Current
Customer Care Coordinator
Evolent Health
03.2025 - 08.2026
Diploma - Medical Billing and Coding
Penn Foster Career School
12.2024 - Current
Amex IBCC CPS
Concentrix
06.2024 - 12.2024
Customer Service Representative I
Noridian Healthcare Solutions
07.2022 - 04.2024
Customer Service Representative
Asurion Insurance Services
05.2021 - 07.2022
Customer Service Representative
Continuum GBL
08.2020 - 05.2021