Lauren Scott
Hartsville,SC
Summary
As an analytical problem-solver with excellent communication skills, highly effective at interviewing claimants, compiling records, and documenting findings. Extensive knowledge of insurance policies, practices, and standards allows for verification of insurance benefits and creation of appropriate patient documentation with ease. Organized and dependable candidate excelling at managing multiple priorities and maintaining a positive attitude. Willing to take on additional responsibilities to meet team goals. Expertise as a skilled Insurance Verification Specialist maximizing success through effective use of abilities in Skill, Skill, and Skill. Top-notch communicator possessing excellent time management, administrative, and customer service skills. Talent as a Technical Support Representative allows for understanding the needs of both business and home users. Well-versed in troubleshooting and providing desktop support on Windows, Linux, and Mac systems. Proven ability to resolve problems quickly on the first call, positively impacting all customer interactions and engineering efforts for supported products. Strong troubleshooting capabilities and customer-oriented attitude gained through experience in providing network and software support while developing and implementing technical solutions. Comprehensive knowledge of standard operating systems, networking protocols, and technical support procedures enabling effective troubleshooting of computer hardware and software issues in customer-focused environments. Detail-oriented team player with strong organizational skills, able to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
Work History
Outbound Verifications Specialists
InformData
Hartsville, SC
05.2024 - Current
- Reduced call handling time by efficiently navigating through customer databases and CRM systems.
- Made outbound lead follow-ups to potential and existing customers by telephone and email to qualify leads and sell products and services.
- Participated proactively in ongoing learning initiatives like workshops or seminars to consistently enhance communication skills and product knowledge.
- Built rapport with clients, fostering long-term relationships that led to increased customer loyalty and repeat business.
- Participated in regular performance reviews, using constructive feedback as an opportunity for growth and development within my role as a Verification Specialist.
- Maintained a high level of professionalism when interacting with external parties during the verification process.
- Collaborated effectively with other departments, facilitating smooth handovers between teams involved in the verification process.
- Upheld company reputation for integrity by consistently applying ethical standards during all stages of the verification process.
- Demonstrated excellent attention to detail while handling sensitive client information, ensuring confidentiality at all times.
- Streamlined the verification process by creating detailed checklists and guidelines to ensure consistency.
- Maintained accurate records of all verifications performed, ensuring easy access and retrieval when required by audit or management review.
Collection Agent
Transworld
Hartsville, SC
04.2024 - 04.2024
- Maintained accurate records of all collection activities, allowing for better tracking and analysis of performance metrics.
- Collaborated closely with other departments, ensuring seamless communication regarding delinquent accounts and payments received.
- Reconciled debtor accounts regularly by verifying payments made against outstanding balances as well as resolving discrepancies when necessary.
- Leveraged strong negotiation skills to secure favorable settlements from debtors while maintaining professional relationships throughout the process.
- Improved debtor repayment rates by negotiating payment plans and settlements effectively.
Food Service Worker
BUCEES
Florence, SC
07.2023 - 12.2023
- Greeted customers and answered inquiries regarding menu items and specials.
- Delivered exceptional service by promptly addressing customer concerns and special requests.
- Replenished condiments, beverages, and supplies while maintaining cleanliness of service areas.
- Operated cash register accurately, managing transactions efficiently while providing excellent customer service.
- Cut, sliced and ground meat, poultry and seafood to prepare for cooking.
- Demonstrated knowledge of menu items and corresponding ingredients.
- Portioned and wrapped food to place directly on plates for service to patrons.
- Ensured consistency in presentation of dishes by closely following plating guidelines.
Benefit Verification Specialist
AmerisourceBergen
11.2022 - 02.2023
- Conducted quality assurance audits on a regular basis to maintain accuracy levels
- Processed prior authorization requests according to established procedures
- Worked closely with other departments within the organization as needed
- Maintained detailed records of all patient interactions with compliance standards
- Explained the appeals process to patients when necessary
- Utilized multiple software programs to process claims, track authorizations, and monitor payments
- Investigated denials due to incorrect or incomplete data entry errors
- Researched payer websites to validate plan information for accuracy
- Provided education on billing protocols and payment options available to patients
- Advised staff members regarding insurance changes that may affect reimbursement rates
- Responded promptly to inquiries from internal and external customers via phone or email.
- Built strong relationships with insurance representatives, fostering effective communication channels for resolving complex issues.
- Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
- Assisted in updating company-wide claims manual, incorporating new regulatory requirements for more efficient processes.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Posted payments to accounts and maintained records.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Prepared and presented detailed reports to management on claims issues to aid in decision making.
- Calculated adjustments, premiums and refunds.
- Updated claims system to track claim status and provide relevant information to other department.
Customer Service Representative
Afni
09.2021 - 11.2022
- Respond to organic sales leads and utilize cross selling opportunities within current book of business, providing insurance quotes using industry and product knowledge
- Follow up on declined quotes at prospect policy expiration to offer updated comparison
- Provide timely and accurate responses to client insurance inquiries on existing insurance policies with regards to eligibility, coverages, policy changes, billing, claims and upcoming renewals
- Continued industry education.
- Provided remote assistance to customers experiencing technical difficulties, guiding them through step-by-step resolutions with patience and professionalism.
- Improved customer satisfaction by providing timely and accurate technical support for various software and hardware issues.
- Resolved complex technical problems through effective troubleshooting techniques, enhancing the user experience.
- Maintained a high level of expertise on company products, ensuring accurate information was provided to customers at all times.
- Documented customer interactions in detail within the case management system, ensuring comprehensive records were maintained for future reference.
- Used ticketing systems to manage and process support actions and requests.
- Delivered exceptional customer service by quickly addressing concerns and providing clear, concise explanations of technical solutions.
- Escalated high-priority cases promptly to ensure rapid response times for critical situations requiring advanced attention or expertise.
- Provided technical support to clients, addressing their concerns and troubleshooting issues as necessary.
- Improved customer satisfaction by providing timely and efficient on-site technical support.
- Improved customer satisfaction by providing timely and effective technical support.
- Provided technical support during incident investigations involving potentially unsafe products or components.
- Enhanced customer satisfaction by providing timely and efficient technical support to clients.
- Improved software usability by providing expert technical support and troubleshooting for complex issues.
- Provided technical support to end-users, addressing concerns and ensuring customer satisfaction.
- Provided technical support and training to users on new systems to ease transitions.
- Analyzed performance metrics to identify areas for improvement in technical support operations.
- Reduced troubleshooting time by providing efficient technical support for AV equipment issues.
Cook
Ruiz Foods
12.2016 - 09.2020
- Pull schedules from computer to verify and ensure recipe accuracy
- Work in all job's stations in Pre-batch areas such as cheese dicers, chicken dicer, can opener, Hobart machines, blending machines, spices and preparation, ingredient weights, burrito grinder, and others
- Capable of frequently lifting 50-pound bags of ingredients
- Operate paddle blender and make all cold fill recipes
- Unpack large food items from boxes and containers.
Inbound CSR
Connect U Staffing Solutions
07.2020 - 08.2020
- Take inbound calls for our pledge drive client
- No soliciting and no outbound calls
- You will be taking pledge drive call for PBS, NPR, Wounded Warrior, St Jude, ASPCA and various other non-profit organizations
- You WILL NOT be soliciting pledges but instead taking incoming calls from people who have already decided to make a donation.
Cashier
Dollar General
05.2016 - 08.2016
- Receive payment by cash, check, credit cards, vouchers, or automatic debits
- Issue receipts, refunds, credits, or change due to customers
- Assist customers by providing information and resolving their complaints
- Establish or identify prices of goods, services or admission, and tabulate bills using calculators, cash registers, or optical price scanners
- Greet customers entering establishments
- Provided efficient and courteous service to customers
- Performed opening and closing procedures, such as counting cash register, restocking, and cleaning.
Camera Operator
South Motor Vehicles
02.2016 - 05.2016
- Take pictures of customers for Beginner's Permit, License, and/or Identification
- Tested new cameras prior to use on set or location shoots
- Maintained knowledge of digital video formats, including HDV, DVC Pro and Betacam SP and Digital Betacam
- Repaired minor issues with cameras when necessary
- Transported camera equipment safely between shooting locations
- Provided technical assistance during pre-production meetings with directors and producers to discuss camera angles and shot selection criteria
- Used a variety of camera support systems such as sliders, stabilizers and tracking rigs.
Library Assistant
Hartsville Memorial Library
06.2015 - 08.2015
- Signed students up for summer reading program
- Assisted students with computer login
- Responsible for crafts for students
- Assisted with summer events for students
- Fed EX Loader
- Processed print and non-print library materials to prepare for inclusion in library collections
- Maintained library reading area and reference collection, including books, magazines, newspapers, and audio-visual materials
- Facilitated library patrons in locating materials, providing reference services, and answering basic questions
- Updated patron information through manual filing systems or automated databases
- Utilized library circulation systems to check in and check out library materials.
IHOP
Hartsville Memorial Library
08.2013 - 12.2013
- Ensure that the food prepared conforms to specifics of the customer orders initiates the procedures to fulfill those orders
- Work with the kitchen staff in preparing the food in the correct table wares or packaging if for takeout
- Parallel the duties of a waiter/waitress in small diners and food stalls by offering menus, taking orders, delivering the food orders and present the check after
- Maintain proper hygiene and decorum to make a positive impression with the customers
- Clean the table and surrounding areas after the customer has vacated the place, replaces the table linens, utensils and markers to make it ready to receive the next customer
- Perform cashiering work if required during lean times or when the cashier is on leave
- Respond to customer calls for beverage refills or other food order additions they may order along with refilling table condiments, sauces or gravies
- Present customers with promotional food items and special offers.
Loader
CitiTrends Distribution
06.2013 - 08.2013
- Stock, load/unload all finished products in correct freight trucks ensuring company standards and quotas
- Performed routine and scheduled maintenance services
- Participated in ongoing training to enhance own job skills and knowledge
- Focused on learning new skills and staying updated with industry changes
- Met deadlines while maintaining high-quality deliverables.
Education
Associate Of Applied Arts In Computer And Information Sciences -
Spartanburg Methodist College
01.2013
High School Diploma -
Darlington High School
01.2011
Skills
- Claims Processing
- Customer Service
- Data Integrity
- Critical Thinking
- Attention to Detail
- Team Collaboration
- Data Entry Software
- Organizing and Prioritizing Work
- Denied claims identification
- Insurance Claim Forms Review
- Time Management
- Small Claims Payouts
- Customer Relations
- Technical Troubleshooting
- Technical Support
- Remote Support
- Issue Troubleshooting
- Microsoft Outlook
- Product Troubleshooting
- Document Verification
- Identity Verification
- Background Checks
Timeline
Outbound Verifications Specialists
InformData
05.2024 - Current
Collection Agent
Transworld
04.2024 - 04.2024
Food Service Worker
BUCEES
07.2023 - 12.2023
Benefit Verification Specialist
AmerisourceBergen
11.2022 - 02.2023
Customer Service Representative
Afni
09.2021 - 11.2022
Inbound CSR
Connect U Staffing Solutions
07.2020 - 08.2020
Cook
Ruiz Foods
12.2016 - 09.2020
Cashier
Dollar General
05.2016 - 08.2016
Camera Operator
South Motor Vehicles
02.2016 - 05.2016
Library Assistant
Hartsville Memorial Library
06.2015 - 08.2015
IHOP
Hartsville Memorial Library
08.2013 - 12.2013
Loader
CitiTrends Distribution
06.2013 - 08.2013
Associate Of Applied Arts In Computer And Information Sciences -
Spartanburg Methodist College
High School Diploma -
Darlington High School