Summary
Overview
Work History
Education
Skills
Timeline
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Kay S. Shaw

Orlando,FL

Summary

Experience Patient Service Specialist with 4 years of experience. I am seeking a position in an accredited company willing to use my experience and skills for potential growth.

Overview

6
6
years of professional experience

Work History

Concierge Customer Service Representative

Medwatch
02.2024 - Current
  • Assisting members with benefits and healthcare questions.
  • Providing exceptional customer service and support to members
  • Responding to telephone and email inquiries received from members and providers within defined service standards. Negotiating with providers to gain acceptance for plans without network agreements and/or out of network providers.
  • Showing proficiency with Microsoft applications, strong computer skills and computer navigation.
  • Displaying knowledge in Insurance verification and pre-certification
  • Excellent verbal and written communication skills.
  • Contacting insurance companies to obtain verification of insurance eligibility
  • Performing Medicare compliance to determine coverage.
  • Understanding of self-funded health benefits

Patient Service Specialist

Medusind
08.2019 - 02.2024
  • Assisted patients with clarification, correction, and resolution of their accounts for various medical services
  • Conducted research on insurance and patient discrepancies, correcting information as needed
  • Maintained high levels of performance, quality, and integrity in a high-volume outbound call environment
  • Handled collection of patient payments and ensured proper allocation to correct accounts
  • Informed department leadership of problem accounts or reimbursement issues to support resolution strategies
  • Resolved billing-related queries, updated insurance, and supported patients with questions about balances and open accounts
  • Issued monthly statements, researched payment disputes, and prepared adjustments for supervisor approval
  • Maintained detailed documentation of daily collections activity and ensured strict confidentiality of financial records
  • Collaborated with internal departments and followed escalation procedures for delinquent or disputed accounts
  • Utilized QuickBooks and internal systems to maintain accurate and up-to-date financial records and customer account status
  • Resolving Billing related Queries and updating insurance. Aiding patients with questions regarding billing or open accounts.
  • Handling cash posting and receiving insurance payment.

Education

Bachelor of Arts - Psychology

University of Central Florida
Orlando, FL

Associate of Arts - Psychology

Valencia College
Orlando, FL

Skills

  • Bilingual
  • Problem-Solving Skills
  • Interpersonal Communication
  • Technical Knowledge
  • Patient Services
  • Conflict Management

Timeline

Concierge Customer Service Representative

Medwatch
02.2024 - Current

Patient Service Specialist

Medusind
08.2019 - 02.2024

Associate of Arts - Psychology

Valencia College

Bachelor of Arts - Psychology

University of Central Florida

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