Latresia Randolph
Bellville
Summary
Experienced Client Services Representative specializing in insurance verification and claims processing at Affiliated Healthcare Management Group. Proven success in improving patient satisfaction through effective communication and meticulous attention to detail. Dedicated to maintaining HIPAA standards while providing exceptional service in fast-paced environments.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Client Services Representative
Affiliated Healthcare Management Group
Bloomfield
07.2021 - Current
- Processed insurance claims and payments, resolving billing discrepancies efficiently.
- Followed up on unpaid claims to ensure timely account resolution.
- Verified insurance coverage and eligibility for rendered services.
- Maintained accurate patient information in accounts receivable and billing systems.
- Provided exceptional customer service to patients regarding billing inquiries.
Medical Receptionist
Community Medical and Dental Care
Monsey
10.2015 - 06.2021
- Verified insurance coverage and processed patient intake efficiently.
- Scheduled appointments and coordinated referrals to specialists to enhance patient care.
- Maintained electronic medical records for accuracy and compliance.
- Managed front-desk operations, ensuring a welcoming environment for patients.
- Handled high-volume phone traffic, addressing patient inquiries promptly.
Medical Receptionist / Medication Technician
Evergreen Court Home for Adults
Spring Valley
07.2010 - 03.2021
- Administered and documented resident medications according to physician orders.
- Managed medical records ensuring compliance with DOH regulations.
- Assisted residents in self-administering medications effectively.
- Provided front-desk support by addressing incoming inquiries promptly.
Patient Services Representative
Rockland Eye Physicians and Surgeons
04.2018 - 01.2020
- Scheduled and confirmed patient appointments, including specialist referrals.
- Assisted patients with billing inquiries and insurance verification.
- Maintained accurate and up-to-date patient records through thorough documentation.
- Recognized for exceptional efficiency in a high-volume call center environment.
Education
A.A.S. - Health Services Administration – Medical Insurance, Billing, and Coding
Berkeley College
Newark, NJ09.2021
Skills
- Medical coding (ICD-10, CPT, HCPCS)
- Insurance verification and claims processing
- EHR and MOSS software proficiency
- Accounts receivable and billing management
- HIPAA compliance
- Patient relations and scheduling
- Medical terminology expertise
- Attention to detail
Certification
- Certified Professional Coder (CPC)
- Certified Billing and Coding Specialist (CBCS)
- HIPAA Compliance Training
References
Available upon request.
Timeline
Client Services Representative
Affiliated Healthcare Management Group
07.2021 - Current
Patient Services Representative
Rockland Eye Physicians and Surgeons
04.2018 - 01.2020
Medical Receptionist
Community Medical and Dental Care
10.2015 - 06.2021
Medical Receptionist / Medication Technician
Evergreen Court Home for Adults
07.2010 - 03.2021
A.A.S. - Health Services Administration – Medical Insurance, Billing, and Coding
Berkeley College
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