Lafelle Gist
Columbia
Summary
Dedicated Customer Service Representative who provides exceptional customer service through active listening and problem solving. Call Center Representative with expertise providing customer support in high call volume environments. Exceptional computer aptitude and telephone etiquette.
Medical billing professional prepared to bring comprehensive understanding of insurance claims and reimbursement procedures. Known for meticulous approach to resolving discrepancies and optimizing reimbursement processes. Collaborative team player focused on delivering accurate results while adapting to changing industry standards. Proficient in claims analysis and revenue cycle management.
Overview
10
10
years of professional experience
1
1
Certification
Work History
MEDICAL REIMBURSMENT SPECIALIST
AppleOne-Columbia Mental Health
04.2025 - Current
- Communicate with patients
- Create payment plans
- Follow-up unpaid bills
- Communicate with insurance companies
- Verify coverage
- Submit claims
- Resolve billing issues
MEDICAL BILLING SPECIALIST
Physician Services USA
05.2024 - 04.2025
- Review and submit claims daily
- Denial Resolution
- ERA/AR follow up
- Respond to patient and client direct communications
- Collect and review pre-authorizations
- Insurance Verification
- Maintain patient records
ADMINISTRATOR ASSISTANT/PCA
All Quality Home Health
10.2021 - 04.2025
- Handle daily office operations
- Assist with payroll and keep track of employee timesheets
- Schedule meetings, appointments and home visits
- Assist with new hires and new patients onboarding process
- Assist patients with daily living activities
- Maintain patient records
- Maintain employee records
- Ensure Compliance
BILLING SPECIALIST
Lake City Family Medicine
04.2022 - 04.2024
- Answer phones
- Schedule appointments for patients
- Review medical insurance for patient eligibility
- Post billing using Practice Partners systems
- Transmit claims and claims follow up
- Take payments from patients
- Post payments from insurance companies
CUSTOMER CARE SPECIALIST (REMOTE)
Assurant
08.2018 - 12.2020
- Handle inbound calls from customers, resolving loan level inquiries in hazard insurance, mortgage banking
- Update insurance information to loan accounts
- Disburse homeowners insurance payments from escrowed accounts
- Insurance tracking
CUSTOMER SERVICE REPRESENTATIVE
DXC Technology
09.2017 - 08.2018
- Provide homeowners insurance information for agents, insured and mortgage company
- Research customer inquiries and respond in timely manner
- Take policy payments
- Work independently and in teamwork environment
- Process endorsements
CUSTOMER SERVICE REPRESENTATIVE
Asurion
01.2016 - 04.2017
- Process and provide insurance claim updates for Sprint customers
- Effectively managed a high-volume of inbound and outbound customer calls
- Addressed and resolved customer product complaints empathetically and professionally
- Gathered and verified all required customer information for tracking purposes
- Defused volatile customer situations calmly and courteously
- Accurately documented, researched and resolved customer service issues
- Work from Home
Education
BA - Social Work
Limestone College
Gaffney, SC01.2017
High School Diploma - undefined
Lake City High School
Lake City, SC01.2006
Skills
- Customer Service
- Problem Solving
- Medical Billing
- Insurance Verification
- Office Management
- Avaya Software
- Practice Partners
- ECW Billing
- Claims Processing
- Patient Care
- Administrative Support
- Insurance Claims
- HIPAA compliance
- Appeals handling
- ICD-10 proficiency
Certification
- NON-VIOLENT CRISIS PREVENTION & INTERVENTION TRAINING (CPI)
- Florence School District 3
- 2015 - 2017
Timeline
MEDICAL REIMBURSMENT SPECIALIST
AppleOne-Columbia Mental Health
04.2025 - Current
MEDICAL BILLING SPECIALIST
Physician Services USA
05.2024 - 04.2025
BILLING SPECIALIST
Lake City Family Medicine
04.2022 - 04.2024
ADMINISTRATOR ASSISTANT/PCA
All Quality Home Health
10.2021 - 04.2025
CUSTOMER CARE SPECIALIST (REMOTE)
Assurant
08.2018 - 12.2020
CUSTOMER SERVICE REPRESENTATIVE
DXC Technology
09.2017 - 08.2018
CUSTOMER SERVICE REPRESENTATIVE
Asurion
01.2016 - 04.2017
High School Diploma - undefined
Lake City High School
BA - Social Work
Limestone College
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