Lakita Lewis
Teleperformance USA
Southaven,MS
3
years of professional experience
Detail-oriented healthcare professional with 3+ years of experience in optimizing healthcare claims and managing high-volume accounts. Expertise in resolving complex provider disputes while ensuring compliance with HIPAA standards and safeguarding sensitive PHI. Balances time-sensitive workflows effectively, maintaining a 93% accuracy rate and delivering high-quality service.
Work History
Healthcare Customer Service Representative
1 Year 2 Months- Handled 90+ customer calls daily, resolving healthcare-related inquiries and guiding patients on next steps to ensure timely care.
- Maintained 95%+ quality and customer service scores by actively listening to concerns and providing timely, professional assistance.
- Verified patient eligibility, benefits, and coverage details with accuracy and professionalism.
- Achieved 98% documentation accuracy when entering customer information, updating records, and documenting interactions.
- Met or exceeded 95% of productivity and performance goals while navigating multiple healthcare and customer service systems.
- Verified patient eligibility and benefits with accuracy, ensuring clear communication of coverage details to support patient needs.
Advisor II
1 Year 8 Months- Managed a high volume of claims and prior authorization requests, maintaining a 95% customer satisfaction rate through timely issue resolution.
- Managed high volume of claims and prior authorization requests, achieving 95% customer satisfaction through timely issue resolution.
- Helped reduce claims and authorization-related errors by 20% through accurate documentation, identifying recurring issues, and supporting process improvements.
- Reduced claims and authorization-related errors by 20% through accurate documentation and identification of recurring issues, enabling process improvements.
- Verified member benefits and insurance eligibility across commercial and government health plans using payer systems and authorization portals.
- Documented interactions in CRM systems to maintain complete case histories and service continuity.
Education
Associate of Science - Public Administration
Skills
• Attention to Detail
• Time Management & Prioritization
• Benefits Verification
• Prior Authorization Workflows
• Healthcare Claims Processing
• Commercial & Government Payers
• HIPAA Compliance & PHI Safeguarding
• Denial Management & Insurance Appeals
• Payer Authorization Portals
Timeline
Healthcare Customer Service Representative
Teleperformance USA
11.2024 - 01.2026Read More
Advisor II
Concentrix
02.2023 - 10.2024Read More
Meridian Community College
Associate of Science from Public Administration
Read More