LaQuana Ryans
Houston,Tx
Summary
Results-oriented customer service professional with over the years of experience in high-volume call centers, aiming to join your company as a Customer Service Representative. Committed to resolving customer issues efficiently, delivering top-notch service, and contributing to a positive team environment
Overview
14
14
years of professional experience
Work History
Insurance Verification Specialist/Claims Examiner
Via Benefits Insurance Services
12.2022 - 04.2025
- Verify patients' insurance coverage by contacting insurance companies, confirming eligibility, and obtaining pre authorization when necessary.
- Entered patient demographic and insurance data into electronic medical record system . Conducted thorough benefit verifications for patients by liaising with
insurance providers and analyzing insurance policies to determine coverage details, including medication and treatment options. - Handled customer service inquiries in person, via telephone, and through email. Communicate insurance benefits, co-pays, deductibles, and out-of-pocket expenses to patients and healthcare providers.
- Assisted in verifying patient insurance coverage and benefits, ensuring accurate billing and claims processing.
Healthcare Customer Service Representative/Claims Representative
Acclara
12.2018 - 12.2022
- .Manage a high volume of incoming calls from patients, healthcare providers, and insurance companies regarding insurance eligibility, claims status, and billing inquiries.
- Quickly and accurately determine patients' insurance coverage for specific healthcare services or treatments.
- Submit claims to insurance companies electronically or via mail, ensuring all required information is included and accurately entered.
- Handle inbound calls .Manage a high volume of incoming calls from patients, healthcare providers, and insurance companies regarding insurance eligibility, claims status, and billing inquiries.
Healthcare Customer Service Representative
HCA
07.2015 - 12.2018
- Assist clients in enrolling in healthcare insurance plans, including private health insurance, Medicare, Medicaid, and other relevant programs.
- Respond to customer inquiries via phone, email, or in-person interactions, addressing questions about insurance coverage, benefits, and eligibility.
- Provide information about the various healthcare insurance plans available, explaining differences in coverage, cost, and provider networks.
- Guide clients through the application process, ensuring all necessary documentation and information are accurately submitted.
Healthcare Customer Service Representative
Healthhelp
07.2011 - 07.2015
- Assisted in coordinating patient appointments, referrals, and follow-up care, promoting timely access to healthcare services.
- Maintained accurate and up-to-date patient records, ensuring
compliance with privacy and confidentiality regulations. - Scheduled patient appointments and tests, optimized appointment calendars, and coordinated with various healthcare facilities.
- Assisted in verifying patient insurance coverage and benefits, ensuring accurate billing and claims processing.
Education
Texas School Of Business
High School Diploma -
Phyllis Wheatley High School
Skills
- Attention to Detail
- Patient confidentiality
- HIPAA Compliance
- Insurance Coverage Verification
- Eligibility Determination
- Data Entry
- Exceeding Customer Expectations
- Call Center Operations
- Benefits Enrollment
- Remote Operations
- Email Support
- Inbound/Outbound Calling
- Chat Support
- Medicaid knowledge
- Prior authorization
- Customer Relationship Management
- Customer Service
- Claims
- Problem-solving
- Project Management
- Call Management
- Customer Relationship Management (CRM)
- Skilled Collaborator
Timeline
Insurance Verification Specialist/Claims Examiner
Via Benefits Insurance Services
12.2022 - 04.2025
Healthcare Customer Service Representative/Claims Representative
Acclara
12.2018 - 12.2022
Healthcare Customer Service Representative
HCA
07.2015 - 12.2018
Healthcare Customer Service Representative
Healthhelp
07.2011 - 07.2015
Texas School Of Business
High School Diploma -
Phyllis Wheatley High School
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