LENTONISHA GALLOW
Houston,TX
Summary
Proven expertise in insurance billing and patient data management, honed at Triwest Healthcare Alliance. Excelling in HIPAA compliance and customer service, I consistently ensure accuracy and satisfaction. My adeptness in de-escalation techniques and ICD-10 knowledge has significantly enhanced patient experiences, achieving high-performance evaluations.
Overview
15
15
years of professional experience
Work History
Patient Service Representative
Triwest Healthcare Alliance
Houston, Texas
05.2019 - Current
- Enter and manage critical patient data within the Triwest medical management system to ensure accurate, up-to-date records
- Serve as a primary point of contact for patient appointment authorizations, facilitating appointments with community providers for veterans
- Maintain compliance with VA and Triwest policies by thoroughly reviewing medical documents and providing clear, documented interactions with patients and providers
- Handle inquiries with a patient-centered approach, offering timely resolutions and ensuring satisfaction by following a structured schedule and protocols.
Medical Billing Coordinator
Alliance Medical Service
Houston, Texas
02.2017 - 05.2022
- Handle inbound calls from patients, insurance companies, and healthcare providers regarding billing inquires. Make outbound calls to patients and insurance companies to follow up on outstanding claims and payments.
- Generate and submit medical claim to insurance companies. Ensure accuracy of billing information before submission.
- Set up payment plans for patients, ensuring affordability and compliance with company policies. Address patient concerns and resolve billing issues promptly and courteously.
Patient Service Representative
Sutherland Global Services
Houston, Texas
10.2014 - 02.2017
- Provided high-quality support in insurance billing and payment processing for patients, documenting interactions for accurate account updates
- Achieved high-performance evaluations through effective call handling and customer service in a fast-paced, high-volume environment
- Worked collaboratively with cross-functional teams to ensure data accuracy and adherence to organizational procedures, enhancing the patient experience
- Collaborated with various departments to delicately properly process data accurately and timely for patients.
Cashier
Wal-Mart Stores Inc
Houston, Texas
04.2010 - 10.2014
- Handled 50+ customer interactions per day, giving detailed, personalized, friendly, and polite service to ensure customer retention and satisfaction
- Restocked inventory monthly and reviewed cash operation data to verify proper replenishment
- Received and processed cash and credit payments for in-store purchases.
Education
High School Diploma -
Westbury High School
Houston, TX05.2011
Skills
- Chat Support
- Email Support
- Remote Operation
- Inbound/Outbound Calling
- De-Escalation Techniques
- Call Metrics
- Eligibility Determination
- Call Center Experience
- Dispute Resolution
- Data Entry
- Insurance Claims
- Insurance Billing
- Insurance Verification
- HIPPA Compliance
- Customer Service
- ICD -10 Knowlege
Timeline
Patient Service Representative
Triwest Healthcare Alliance
05.2019 - Current
Medical Billing Coordinator
Alliance Medical Service
02.2017 - 05.2022
Patient Service Representative
Sutherland Global Services
10.2014 - 02.2017
Cashier
Wal-Mart Stores Inc
04.2010 - 10.2014
High School Diploma -
Westbury High School