Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kandy Frazier

Dallas,TX

Summary

Organized patient Representative with 3 years of experience in customer service and 5 years in Healthcare. Adept at patient advocacy and education with commitment to efficiency and also fulfilling the needs for customers. Skilled at coordinating and maintaining professionalism in stressful situations.

Overview

14
14
years of professional experience

Work History

Medicare Enrollment Specialist

Live Ops
02.2023 - 03.2024
  • Streamlined the Medicare enrollment process by effectively managing and organizing application documentation.
  • Enhanced member satisfaction with accurate and timely processing of Medicare applications.
  • Collaborated with cross-functional teams to ensure smooth communication and efficient workflow in the enrollment process.
  • Maintained a high level of accuracy by conducting thorough reviews of enrollment applications, ensuring compliance with CMS regulations.
  • Improved data integrity within the system through diligent verification of applicant information, reducing errors and discrepancies.
  • Assisted members in understanding complex Medicare policies, guiding them through the enrollment process stepbystep.
  • Identified potential areas for improvement in the enrollment process, implementing changes that increased overall efficiency.
  • Delivered prompt resolution for member inquiries regarding their Medicare enrollment status, providing clear and concise information.
  • Conducted regular audits to maintain strict adherence to regulatory guidelines, mitigating risk for non-compliance penalties.

Customer Service Representative

Exact Sciences Laboratories
03.2022 - 02.2023
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Streamlined call center processes for improved efficiency and reduced wait times.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Assisted customers in navigating company website and placing online orders, improving overall user experience.
  • Developed strong product knowledge to provide informed recommendations based on individual customer needs.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.

Medical Insurance Representative

Prestige
07.2018 - 02.2022
  • Improved patient satisfaction by efficiently processing medical insurance claims and addressing inquiries.
  • Streamlined claim processing for faster reimbursement, utilizing knowledge of insurance policies and procedures.
  • Enhanced team productivity by assisting in training new hires on company protocols and software systems.
  • Reduced claim denial rates with thorough reviews of medical records and accurate coding practices.
  • Ensured compliance to industry regulations by staying up-to-date on changes in healthcare laws and guidelines.
  • Expedited resolution of customer concerns, providing exceptional service through clear communication and active listening skills.
  • Managed high call volume while maintaining accuracy and professionalism in documentation of interactions with customers.
  • Performing outbound calls in a timely manner.
  • Enrolling Pediatric, Adult, and Elderly patients to Medicare and Medicaid.

Front Desk Receptionist

Grace Hospice LLC
02.2012 - 10.2017
  • Enhanced customer satisfaction by providing efficient and professional front desk services.
  • Streamlined office operations for improved productivity with effective organization and communication skills.
  • Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
  • Increased guest retention by maintaining a welcoming and organized reception area.
  • Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
  • Expedited check-in and check-out procedures for guests, ensuring seamless experiences during their visits.
  • Maintained accurate records of visitor logs for security purposes and compliance with company policies.
  • Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.

Med Surge Unit Admission

Renissance Hospital
01.2010 - 02.2012
  • Skilled at working independently and collaboratively in a team environment.
  • Self-motivated, with a strong sense of personal responsibility.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked well in a team setting, providing support and guidance.
  • Worked effectively in fast-paced environments.
  • Excellent communication skills, both verbal and written.
  • Passionate about learning and committed to continual improvement.
  • Strengthened communication skills through regular interactions with others.
  • Organized and detail-oriented with a strong work ethic.

Education

Associate of Arts - Health Administration

University of Phoenix
Tempe, AZ
07.2016

Skills

  • Complaint resolution
  • Account updating
  • Appointment Scheduling
  • Payment Processing
  • Stress Tolerance
  • Patient confidentiality
  • Insurance Verification
  • Call center experience
  • Claims Processing
  • Medical billing knowledge
  • Data entry proficiency
  • Consultative Sales
  • Data Collection
  • Organization
  • Complaint Handling
  • Policy understanding
  • Scheduling
  • Technical Support

Timeline

Medicare Enrollment Specialist

Live Ops
02.2023 - 03.2024

Customer Service Representative

Exact Sciences Laboratories
03.2022 - 02.2023

Medical Insurance Representative

Prestige
07.2018 - 02.2022

Front Desk Receptionist

Grace Hospice LLC
02.2012 - 10.2017

Med Surge Unit Admission

Renissance Hospital
01.2010 - 02.2012

Associate of Arts - Health Administration

University of Phoenix

Similar Profiles

CREATE PROFILE
Kandy Frazier