Detail-oriented professional with a strong background in customer service and medical support. Successfully managed high call volumes while resolving inquiries and ensuring patient satisfaction. Proficient in documentation, critical thinking, and compliance with healthcare regulations.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Medical Claims Specialist
Angle Health
San Francisco, California
01.2024 - 05.2026
Reviewed medical bills and forms for accuracy and completeness, ensuring alignment with diagnosis codes for optimal reimbursement.
Verified patient insurance status and treatment coverage to ensure appropriate billing and minimize claim denials.
Resolved rejected claims and billing errors while negotiating with insurance companies on unpaid bills.
Clarified missing or confusing information by communicating with patients, doctors, and insurance companies to facilitate timely claim resolution.
Ensured compliance with HIPAA guidelines to maintain security of patient health data.
Customer Service Representative
Anthem Blue Cross Blue Shield
Louisville, KY
04.2015 - 12.2023
Managed 80+ customer calls daily, resolving inquiries and issues to enhance customer satisfaction.
Ranked in top 10% for successful issue resolution within department.
Consistently exceeded service and quality goals during performance reviews.
Addressed customer complaints with empathy and professionalism to foster positive relationships and improve retention.
Medical Assistant / Phlebotomist
Independence Multipractice Clinic
Baton Rouge, LA
04.2013 - 04.2015
Collected and processed blood and specimens for lab testing, contributing to timely and accurate diagnostic results.
Prepared patients for examinations and procedures.
Interviewed patients to gather medical information and vital signs, ensuring accurate data for diagnosis.
Recorded medical histories, lab results, and treatment details to maintain comprehensive patient records.
Provided patient education on procedures, diets, and medications.
Office Clerk
B&W Trucking Company
Mount Hermon, LA
01.2008 - 01.2014
Answered and initiated calls, managed front desk operations, and greeted clients to ensure positive first impressions.
Performed basic bookkeeping and managed transaction records to maintain accurate financial information.
Maintained detailed documentation of company meetings.
Drafted correspondence and managed mailing lists and office supplies to support efficient office operations.
Education
Diploma - Medical Assisting
Camelot College
Baton Rouge, LA
01-2013
High School Diploma - General Studies
Mt. Hermon High School
Mount Hermon, LA
01-2010
Skills
Customer service excellence
Call triage and management
Microsoft Excel and Word
Promotional support and relations
Documentation and proofreading
Critical thinking and resolution
Medical assistance and phlebotomy
Personal Information
Work Permit: Authorized to work in the U.S. for any employer.