Summary
Overview
Work History
Education
Skills
State
City
Timeline
Generic

LAMARCUS CARMON

Greenville,NC

Summary

Highly motivated business professional with experience in medical billing, insurance claims, and exceptional customer service. Highly effective at conflict resolution and persuasive communication. Knowledgeable about quality assurance and training. Reliable and driven, with strong time management and prioritization abilities. Hardworking and reliable with excellent attention to detail.

Overview

9
9
years of professional experience

Work History

Senior Customer Service Representative

Everise C3 (Remote)
06.2020 - 03.2024
  • Managed large amounts of inbound and outbound calls promptly
  • Identified customers' needs, clarified information, researched every issue, and provided solutions and/or alternatives
  • Explained copays, deductibles, coinsurance, and out of pocket maximum to members
  • Recognized patterns of inconsistent and/or inaccurate claims filing and billing practices among customers and providers
  • Researched denied claims, conducted coding reviews of medical records, and supported documentation against denied claims
  • Built sustainable relationships and engaged patients by taking the extra mile
  • Maintained a high level of ethical conduct regarding confidentiality and privacy.

Medical Collections Representative

Care Servies (Morrisville, NC)
Morrisville, NC
02.2018 - 03.2020
  • Managed accounts for healthcare clients, reviewed detailed patient information for payment resolution while abiding HIPPA privacy and security regulations
  • Contacted insurance companies for benefits investigation and coverage eligibility
  • Reprocessed denied medical claims using extensive appeal tactics or special appeals processing instructions for commercial and government carriers
  • Provided itemized billing statements and screen HIPAA authorization forms for hundreds of legal firms
  • Resolved denied/rejected invoices and prepared payer corrections and or appeals
  • Reviewed accounts and assisted with resolving outstanding balances with patients from clinic visits forwarding them to in-house collection agents if necessary.

Cashier/Office Assistant

Food Lion
04.2015 - 02.2018
  • Managed transactions with customers using cash registers
  • Issued receipts, refunds, change or tickets
  • Routed telephone and electronic inquiries to appropriate personnel promptly and courteously
  • Provided administrative support to employees throughout the organization
  • Consistently provided friendly, personable service to all clients, customers, and staff
  • Prepared communications, such as memos, emails, invoices, reports, and other correspondence
  • Created and maintained filing systems, both electronic and physical.

Education

Skills

  • Excellent Customer Service
  • Oral & Written Communication
  • Inbound & Outbound Calls
  • Empathy
  • Data Entry & 10-Key Proficiency
  • Active Listening Skills
  • Microsoft Office Expertise
  • Time Management & Organization
  • Complex Problem-Solving Abilities
  • Adherence

State

NC

City

Greenville

Timeline

Senior Customer Service Representative

Everise C3 (Remote)
06.2020 - 03.2024

Medical Collections Representative

Care Servies (Morrisville, NC)
02.2018 - 03.2020

Cashier/Office Assistant

Food Lion
04.2015 - 02.2018

LAMARCUS CARMON