Kalaysia Robinson
Ackerman,MS
Summary
Assisted teams in managing various tasks while maintaining a positive outlook. Took on additional duties to support team objectives.
Overview
4
4
years of professional experience
Work History
Patient Care Advocate
VXI Global Solutions LLC
Remote
11.2025 - 03.2026
- Advocated for patient needs by providing timely information and support throughout healthcare processes.
- Assisted patients in navigating insurance claims and benefits to enhance service accessibility.
- Collaborated with healthcare teams to streamline communication and improve patient satisfaction scores.
- Educated patients on treatment options, fostering informed decision-making regarding their care plans.
- Followed document protocols to safeguard confidentiality of patient records.
Medical Billing Specialist
Carenet Healthcare
04.2024 - 11.2025
- Process and submit insurance claims for over 50 patients weekly, ensuring accurate coding and documentation for timely reimbursement.
- Review patient medical records, insurance policies, and claims to verify accuracy and compliance with payer requirements.
- Resolve claim denials and rejections by conducting research, correcting errors, and resubmitting claims within required timeframes.
- Perform account follow-up and payment posting to ensure timely resolution of outstanding balances.
- Remote
Medical Claims Processor
Concentrix
Starkville, MS
04.2023 - 04.2024
- Process an average of 10 medical claims per day, ensuring adherence to payer requirements and compliance with healthcare regulations.
- Review and validate claim data, including patient information, diagnosis codes, procedure codes, and provider details.
- Resolve claim discrepancies and rejections by working with providers, patients, and insurance carriers to gather necessary documentation.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Starkville, MS
Customer Service Representative
Lowes
Starkville, USA
11.2021 - 04.2023
- Managed high call volumes while providing exceptional customer support and maintaining professional composure.
- Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.
- Mastered multiple software systems for seamless navigation during calls, improving efficiency and reducing hold times for customers.
- Maintained detailed records of customer interactions, streamlining communication efforts between various departments.
- Starkville, USA
Education
Certification - Office Administration
Finch Henry Job Corps
Batesville, MS01.2017
High School Diploma - undefined
Choctaw County High School
Ackerman, MS05.2015
Skills
Customer Service
Data Entry
Multitasking
Payment posting
Claim submission
Files and records management
Insurance claims processing
Claims review
Time Management
Microsoft Office
Medical record review
Documentation skills
Timeline
Patient Care Advocate
VXI Global Solutions LLC
11.2025 - 03.2026
Medical Billing Specialist
Carenet Healthcare
04.2024 - 11.2025
Medical Claims Processor
Concentrix
04.2023 - 04.2024
Customer Service Representative
Lowes
11.2021 - 04.2023
Certification - Office Administration
Finch Henry Job Corps
High School Diploma - undefined
Choctaw County High School