Kweisi Morrow
Walkertown,NC
Summary
Creative customer care professional dedicated to meeting and surpassing service goals with exceptional support for customer needs. Smoothly manages incoming/outgoing calls, email messages, and remote requests by applying strong organizational and time management skills. Paying close attention to detail to ensure tasks are taken care of right on initial encounter. Unmatched history of success in fast-paced call centers and pharmacies.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Care Coordinator
PushCare
04.2023 - Current
- Interface with patients via phone and email to asses and resolve patients' needs such as missing medications, prior authorizations, and relaying messages to care providers.
- Using Customer Relationship Management programs( Zendesk) to fulfill patients’ requests and review former interactions while documenting and adding to the tasks performed and resolutions
- Expressing empathy and care while offering excellent customer service to ensure each patient is left pleased and satisfied
- Provides internal coordination with other team members, nurses, and physicians
- Working primarily independently to troubleshoot and problem-solve to achieve ideal results and satisfaction for our patients
- Operating in a fast-paced environment while delivering exceptional written and oral communication skills to ensure peak satisfaction
- Developing the ability to navigate and troubleshoot mobile applications (iPhone, Android) to assist patients with their appointments, lab results, medication prescriptions, and more.
Claims Processor
United Healthcare
07.2018 - 05.2021
- Review and interpret individual policies to effectively determine and make eligibility determinations
- Review, verify, and identify customer transactions to detect/prevent fraud activities, policy violations, and suspicious activity to mitigate and/or recover losses
- Apply federal and internal guidelines (claim filing, provider eligibility, active coverage, and limitations), resulting in payment or denial of services.
- Obtain claim processing information using computer, system files, and reference beneficiary, provider, and history screens
- Process and coordinate adjustments, including denials and appeals, and accurately document through electronic systems
- Interact and troubleshoot with providers, other contractors, and third parties to resolve claim-related issues
- Interpret and translate medical terminology and regulations to customers to effectively determine return, pay, or denial following organizational policies and procedures.
Medical Billing Specialist
LabCorp
02.2017 - 07.2018
- Prepared and submitted invoices using Microsoft Office, Mail Merge, Excel, Webfocus reports, and various portals
- Sent notice of money owed to insurance companies and patients and worked with numerous working teams to guarantee quality of data and uniformity
- Communicated with insurance providers to resolve claims and verify patient eligibility.
- Located errors in claims in order to promptly refile
- Maintained professional and positive relationships with customers and accurately discuss account status including account balance, invoicing, insurance claims, and payments.
- Contacted patients, providers' offices, and insurance companies to obtain necessary medical and/or insurance information to properly submit the initial claim.
Education
Certificate of Completion, Licensed Esthetician - Esthetics
Dermacademy
Kernersville, NC09.2020
Communications
Catawba College
Salisbury, NC06.2014
High School Diploma -
Northeast High School
McLeansville, NC06.2012
Skills
- Medical Terminology
- Claim Processing
- Patient Health Information Access
- Microsoft Office
- 10-Key Certification
- Computer Proficiency
- Conflict Resolution
- Written and Oral Communications
- Resolve Technical Problems
Certification
- Licensed Esthetician - 2020-Present
Timeline
Care Coordinator
PushCare
04.2023 - Current
Claims Processor
United Healthcare
07.2018 - 05.2021
Medical Billing Specialist
LabCorp
02.2017 - 07.2018
Certificate of Completion, Licensed Esthetician - Esthetics
Dermacademy
Communications
Catawba College
High School Diploma -
Northeast High School
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