Summary
Overview
Work History
Education
Skills
Timeline
Generic

Makayla Bass

Fort Worth

Summary

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

18
18
years of professional experience

Work History

PFS Representative

Christus Health
11.2023 - Current
  • Ensured timely filing of claims through efficient management of work queue and prioritization of tasks.
  • Collecting patient and payer information, responding to account inquiries, and maintaining knowledge of insurance and self-pay guidelines, third-party payer regulations, and the overall revenue cycle using the EPIC System (EHRs)
  • Effective knowledge of coding regulations (CPT, HCPCS, and ICD-10), and accurately document activities.
  • Experience with specific billing forms (UB-04, HCFA 1500) and Medicare & Medicaid processes.
  • Reduced errors in claims submissions by meticulously reviewing patient records and ensuring accurate coding.
  • Optimized workflow efficiency by cross-training team members on various PFS Representative duties.
  • Collect patient and payer information, responding to account inquiries, and maintaining knowledge of insurance and self-pay guidelines, third-party payer regulations, and the overall revenue cycle.
  • Provide updates to leadership, collect balances, manage denials, and resolve underpayments and credit balances, which may also involve cash reconciliation.
  • Conducted thorough analysis of payer contracts to ensure maximum reimbursement levels were achieved for services rendered.

DOT Courier

Federal Express
09.2023 - 05.2024
  • Enhanced delivery efficiency by optimizing routes and utilizing advanced GPS navigation systems.
  • Participated in ongoing professional development opportunities, staying current on industry trends and best practices for courier services.
  • Contributed to team success by collaborating effectively with fellow couriers on shared routes or larger projects requiring multiple personnel resources.
  • Utilized electronic logging devices to track hours of service accurately, ensuring compliance with DOT regulations and avoiding potential fines or penalties.
  • Trained new couriers on company procedures, route optimization strategies, and best practices for safe handling of materials during transport.

RCA

USPS
06.2019 - 03.2023


  • Signed and received mail with signature requirements upon delivery and loading.
  • Directly interacted with customers to deliver mail, packages and ordered goods.
  • Loaded and secured items in trucks to avoid damage to parcels during delivery.
  • Helped customers by carrying oversized parcels inside residences.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
  • Carried out day-day-day duties accurately and efficiently.
  • Demonstrated respect, friendliness and willingness to help wherever needed.


Massage Therapist/Manicurist and Pedicurist

Xpress Spa
04.2016 - 06.2019
  • Provided safe, effective and appropriate massage therapy techniques during customer appointments.
  • Spoke with clients regarding health history, expectations, services and procedures for safety and customer satisfaction.
  • Maintained client treatment records and designed long-term care programs for return customers.
  • Grew sales with great work ethic, individualized beauty care plans and positive attitude.
  • Coached and supervised staff by monitoring techniques and daily activities to suggest improvements.
  • Advised clients on areas such as posture, at-home exercises and stretches.
  • Prepared oils and lotions for massages.
  • Advised clients on lifestyle changes to improve alignment, posture and gait for better long-term wellness.
  • Managed over 100 customer calls per day. Or Increased sales by 20%.

School/Cosmetologist

TINT
09.2015 - 04.2016
  • Kept work areas, tools and equipment clean and properly sanitized to minimize disease transfer and health risk of shared environment.
  • Enhanced client satisfaction by providing personalized cosmetology services based on individual needs and preferences.
  • Contributed to the salon''s positive reputation through excellent customer service, attention to detail, and commitment to client satisfaction.
  • Attended regular trainings and workshops to maintain cosmetology license and stay current on technique and skills.
  • Grew sales with great work ethic, individualized beauty care plans and positive attitude.
  • Ensured compliance with all regulatory health and safety standards, preserving salon's reputation and client trust.

Claims Specialist

Humana
08.2007 - 12.2015
  • Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims, mental health claims.
  • Experience with specific billing forms (UB-04, HCFA 1500)
  • Researched and resolved complex medical claims issues to support timely processing.
  • Verified patient insurance coverage and benefits for medical claims.
  • Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
  • Maintained accurate patient records by diligently updating databases and following strict documentation guidelines.
  • Improved claim processing efficiency by streamlining workflows and implementing best practices.
  • Calculated adjustments, premiums and refunds.
  • Special projects by reviewing outstanding requests and redirected workloads to complete projects on time.
  • Escalated files with significant indemnity exposure to supervisor for further investigation.
  • Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.

Education

High School Diploma -

Justin F Kimball High School
Dallas, TX
05.1999

Skills

  • Strong interpersonal skills
  • ICD-10
  • Problem-solving
  • Time management
  • Excellent communication
  • Building rapport
  • Microsoft Office Suite (Word, Windows, Excel, etc)
  • Team collaboration
  • Conflict resolution
  • Customer service
  • Critical thinking

Timeline

PFS Representative

Christus Health
11.2023 - Current

DOT Courier

Federal Express
09.2023 - 05.2024

RCA

USPS
06.2019 - 03.2023

Massage Therapist/Manicurist and Pedicurist

Xpress Spa
04.2016 - 06.2019

School/Cosmetologist

TINT
09.2015 - 04.2016

Claims Specialist

Humana
08.2007 - 12.2015

High School Diploma -

Justin F Kimball High School

Similar Profiles

CREATE PROFILE
Makayla Bass