Lindsay Hamilton
Meridian,MS
Summary
To obtain a full time position with UHC to help thrive, exceed and drive success in a fast paced environment. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, committed to leveraging these qualities to drive team success and contribute to organizational growth. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
8
8
years of professional experience
Work History
Senior Customer Service Advocate
United Healthcare
09.2022 - Current
- Data entry
- Outbound call to members to help complete HRA
- Resolved customer service issues using company processes and policies and provided updates to customers.
- Assist members with Webtech calls regarding tech support.
- Engaged members over phone to answer questions and address complaints.
- Escalated issues to proper supervisors when standard processes were not effective.
- Delivered prompt service to prioritize customer needs.
Utilization Review Specialist
Rush Foundation Hospital
05.2021 - 08.2022
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Performed prior authorization review of services requiring notification.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Knowledge of CPT codes and ICD-10 Codes
Medical Secretary
Rush Foundation Hospital
03.2020 - 05.2021
- Maintained current and accurate medical records for patients.
- Maintained office supplies inventory by checking stock, anticipating department needs, and placing and expediting orders.
- Located, checked in, and pulled medical records for patient appointments and incomplete charts.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Supported office staff and operational requirements with administrative tasks.
- Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment, or verbal direction.
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Prioritized calls through screening process and transferred calls and recorded messages for appropriate personnel.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Answered phone calls and messages for physician, medical facility, scheduling appointments, and handling patient inquiries.
- Performed various administrative tasks by filing, copying and faxing documents.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Prepared and processed patient referrals and transfer requests.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Placed new supply orders, managed inventory and restocked clerical spaces.
Billing Customer Service Representative
Rush Foundation Hospital
10.2018 - 03.2020
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Maintained up-to-date knowledge of product and service changes.
- Met customer call guidelines for service levels, handle time and productivity.
- Created and maintained detailed database to develop promotional sales.
- Increased efficiency and team productivity by promoting operational best practices.
- Educated customers about billing, payment processing and support policies and procedures.
- Investigated and resolved customer inquiries and complaints quickly.
- Cross-trained and provided backup support for organizational leadership.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Posted payments to accounts and maintained records.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Generated, posted and attached information to claim files.
Newborn Hearing Screener
Natus Medical
06.2017 - 12.2018
- Administered and interpreted electrophysiological testing for infants and children to determine hearing levels.
- Learned and adapted quickly to new technology and software applications.
- Applied effective time management techniques to meet tight deadlines.
- Used medical computer-based patient record system to input daily statistics and place orders.
Education
No Degree - Licensed Practical Nursing
Meridian Community College
Meridian, MS05-2027
No Degree - Medical Billing And Coding
University of Phoenix
Tempe, AZ05-2024
GED -
Meridian Community College
Meridian, MS09-2016
Skills
- Call center experience
- Complaint resolution
- Customer support
- Quality assurance
- Payment posting
- Medical coding
- Data entry proficiency
- Attention to detail
- Multi tasking
- Detail orientation
- Effective communication
- Computer proficiency
Affiliations
- Employee Experience Committee with United Healthcare, DA poet with United Healthcare
Timeline
Senior Customer Service Advocate
United Healthcare
09.2022 - Current
Utilization Review Specialist
Rush Foundation Hospital
05.2021 - 08.2022
Medical Secretary
Rush Foundation Hospital
03.2020 - 05.2021
Billing Customer Service Representative
Rush Foundation Hospital
10.2018 - 03.2020
Newborn Hearing Screener
Natus Medical
06.2017 - 12.2018
No Degree - Licensed Practical Nursing
Meridian Community College
No Degree - Medical Billing And Coding
University of Phoenix
GED -
Meridian Community College
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