Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
9
9
years of professional experience
Work History
Pre-Service Specialist
USA Healthcare
Mobile, AL
12.2024 - 03.2026
Tracks progress, expedites responses from insurance carriers and other payers, and maintains contact with patients, departments and providers to keep them continuously informed
Tracks, reports, and escalates service issues arising from requests for authorizations, financial assistance or other issues that delay service, to ensure patient access and to avoid delays that may interrupt care of therapies
Obtains clinical, lab and medical testing documentation from at least two EMR’s and from paper documentation for submission to payers
Interacts with all necessary portals to submit authorization requests electronically to receive as timely of responses as possible, using websites and telephone services as needed
Patient Registrar
Behavioral Health Group
Mobile, AL
01.2023 - 10.2024
Managed patient registration process, ensuring accurate and timely collection of demographic and insurance information
Collaborated with healthcare providers to verify insurance coverage and obtain necessary authorizations for procedures
Resolved billing discrepancies by coordinating with patients, insurance companies, and billing departments
Provided administrative support such as answering phone calls, scheduling appointments, faxing documents etc
Claims Adjuster
Pilot Catastrophe Services
Mobile, AL
03.2021 - 10.2023
Communicate empathetically with customers and help them through their claim process in a fast, fair and easy manner
Conduct a detailed review of the property and write an estimate in Xactimate/CCC to capture the extent of the damages
Use high resolution photographs provided by virtual imagery and advanced video technology to collaborate with onsite vendors to identify damages and write a damage estimate from a virtual setting
Review the policy and decide how coverage applies and provide the customer with a detailed explanation of both the estimate and the policy
Negotiate claim settlements with customers in accordance with business unit standard methodologies
Patient Care Technician
DaVita
West Chester, PA
07.2020 - 02.2022
Checking patients’ blood pressure, heartbeat and pulse regularly
Providing compassionate care by listening to patients’ concerns and guiding them by answering any questions or concerns
Monitoring patients’ conditions and providing updates to healthcare team
Turning, repositioning and move patients between beds, wheelchairs and seats
Helping patients use the bathroom and monitoring patients’ food and liquid intake
Customer Service Representative
ID.me
Mobile, AL
02.2017 - 06.2020
Provide timely, accurate, and efficient service to our customers via email and/or video chat
Verify member identification and follow verification procedures
Work with other customers to troubleshoot verification issues and provide a working solution
Assist in documentation and playbook updates as necessary