Lamont Billings
Boston,MA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Member Services/Member Enrollment Representative III
Boston Medical Center HealthNet & Well Sense Health Plan
Charlestown, United States
09.2008 - 12.2021
- Working Knowledge of TriZetto Facets, MassHealth EVS, New Hampshire MMIS Health Enterprise Portal, MassHealth
- Virtual Gateway, Microsoft, and Adobe software
- Proficient across products: MCO, ACO, NH, and QHP
- Work collaboratively with other departments (Provider Relations, Appeals and Grievances, Health Services, Claims, and Service
- Center) via the Enrollment Mailbox to resolve complex issues related to member eligibility and provider discrepancies
- Create temporary newborn IDs in Facets, check eligibility, and communicate with providers via fax
- Research and reconcile member eligibility discrepancies identified via the daily Warnings & Errors report and the monthly 834
- Reconciliations Report
- Organize, record, and send coaching notifications to the Service Team’s supervisors
- Reconcile active temporary member IDs with active member IDs
- Update member demographic information and PCPs in Facets from several sources
- Reliable and accountable team contributor
- Research, resolution, quality, and detail oriented
- Courteous and respectful communication with follow-up
- Accurate, concise, clear documentation
- Follow HIPAA and other regulations and policies
- Perform other duties as assigned.
Concierge
SecurAmerica
Charlestown, United States
12.2017 - 03.2019
- Greeted and assisted residents, guests, delivery persons, and contractors
- Notified residents of guest and delivery arrivals and log packages
- Enforced property rules, regulations, policies, and procedures
- Responded to emergency situations.
- Maintained front desk's concierge book to provide visitors with access to relevant local information.
- Remedied issues quickly and effectively through active listening, conflict resolution and dynamic communication skills.
Courier Contractor
Mid Cape FedEx Ground
Middleboro, MA
01.2023 - 08.2023
- Skilled at working independently and collaboratively in a team environment.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Developed and maintained courteous and effective working relationships.
- Organized and detail-oriented with a strong work ethic.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Managed time efficiently in order to complete all tasks within deadlines.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Paid attention to detail while completing assignments.
- Strengthened communication skills through regular interactions with others.
- Worked effectively in fast-paced environments.
Non-Emergency Medical Driver
Hybrid Rides
Norwood, MA
August - Current
- Self-motivated, with a strong sense of personal responsibility.
- Inspected vehicle before and after trips to identify maintenance needs and handle regular upkeep.
- Cleaned vehicle regularly to maintain professional appearance.
- Shouldered responsibility for communicating with dispatch concerning incomplete pickups.
- Achieved daily preparation for vehicle inspections prior to travel.
- Successfully operated GPS devices, radios and cellular devices to optimize route and maintain dispatch communications.
- Maintained professional image and attitude to positively represent transport company and help build reputation for excellent customer service.
Education
Advanced - Management
Northeastern University
Skills
- Detail-Oriented Self Motivated Healthcare Healthcare Industry Hipaa IDS Coaching Claims
- Reconciliations Facets Documentation Service Center Billing Contracts
- Demographics Information
- Patient Confidentiality and Data Security
- Patient Account Reviews
- Documenting and Recording Information
- Call Transfers
- Caring and Empathetic
- Explaining Policy and Procedures
- Building Rapport and Credibility
- Registration and Scheduling
- Operational Requirements
- Gathering Information From Patients
- Insurance Verification
- Administrative and Office Support
- Benefits Explanations
- Clinical Messaging
- Outbound Calling
- Punctual and Hardworking
- Medicaid Application
- Word Processing
- Patient Service and Assistance
- HCPCS Compliance
- Referral Verification
- Patient Appointment Management
- Patient Health Information Access
- Insurance Information Collection
- Appointment Confirmation
- Chart Pulling
- Resolving Problems
- Calm and Effective Under Pressure
Accomplishments
- Six Sigma Certified
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
Certification
Lean Sigma Six
Lean Six Sigma Yellow Belt Certification is a Six Sigma process certification segment under quality management. Lean Six
Sigma Yellow Belt Certification syllabus enlightens the relationships between improving quality processes and profitability
in business.
LANGUAGES
English - Intermediate
Timeline
Courier Contractor
Mid Cape FedEx Ground
01.2023 - 08.2023
Concierge
SecurAmerica
12.2017 - 03.2019
Member Services/Member Enrollment Representative III
Boston Medical Center HealthNet & Well Sense Health Plan
09.2008 - 12.2021
Advanced - Management
Northeastern University
Lean Sigma Six
Lean Six Sigma Yellow Belt Certification is a Six Sigma process certification segment under quality management. Lean Six
Sigma Yellow Belt Certification syllabus enlightens the relationships between improving quality processes and profitability
in business.
LANGUAGES
English - Intermediate
Non-Emergency Medical Driver
Hybrid Rides
August - Current
Similar Profiles
YAINELIS PEREZYAINELIS PEREZ
Validation Program Coder - Risk Adjustment (Remote at Well Sense Health PlanValidation Program Coder - Risk Adjustment (Remote at Well Sense Health Plan
Laurie Grant, LICSWLaurie Grant, LICSW
Social Work Care Manager at Boston Medical Center Health Net/Wellsense SCOSocial Work Care Manager at Boston Medical Center Health Net/Wellsense SCO
Arielle PokossyArielle Pokossy
Resident Doctor Psychiatry at Boston Medical Center Health SystemResident Doctor Psychiatry at Boston Medical Center Health System