Maranda Morton
Charlotte,NC
Summary
Well-qualified customer service specialist with proven success in improving operations and solving problems. Highly proficient in building lasting relationships with key decision makers, customers and team members to further company goals. Ready to leverage training and experience to take on new professional challenges. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level or Human Resources position. Ready to help team achieve company goals.
Overview
10
10
years of professional experience
Work History
Human Resource Specialist
Alight Solutions
Charlotte, NC
05.2022 - Current
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Interviewed policyholders to verify information and obtain additional details.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Developed in-depth understanding of insurance policies and procedures to give accurate recommendations to suit clients' needs.
- Developed and implemented strategies to improve claim processes.
- Maintained high standards of customer service by building relationships with clients.
- Obtained underwriting approval by completing application for coverage.
- Responded to customer calls swiftly to resolve issues and answer questions.
- Built relationships with clients using active listening and issue resolution to provide excellent service.
- Maintained employee confidence and protected payroll operations by keeping information confidential.
- Updated employee files with new details such as changes in address or salary levels.
- Responded to employee inquiries to clarify payroll issues regarding wages, deductions and taxes.
- Maintained confidentiality of employee records and payroll information.
- Reviewed personnel records to determine names, rates of pay, occupations of new hires and changes in wage rates.
- Performed data entry tasks and maintained accurate records of employee payroll information.
- I did HR benefits for clients such as Starbucks, United Healthcare, and county of Orange.
- Processed tickets for further investigation for employees.
Patient Access Specialist
Prisma Health Tuomey Hospital
Sumter , SC
07.2013 - 08.2020
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Collected and validated patient demographics and insurance information.
- Performed patient pre-admission, admission, transfer and discharge activities.
- Contacted insurance companies for patient medical billing operations.
- Prepared patient identification band and completed admissions papers.
- Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
- Providing excellent customer service by promptly answering patient inquiries.
- Trained new staff on hospital processes and procedures.
- Resolved patient billing issues in line with established guidelines.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Education
Diploma -
Lakewood High School
Sumter, SCSkills
- Wages and Salary
- Conflict Resolution Tactics
- Compensation and Benefits
- Customer Relations
- Staff Training
- Payroll and Benefits Administration
- Employee Relations
- Complex Problem-Solving
- Human Resources Services
- Customer Service Delivery
- HR Information Systems
- Microsoft Office
- Diagnostic Codes
- Eligibility Determinations
- Payment Processing
- Demographics Information
- Insurance Company Knowledge
- Medical Terminology
- Patient Registration
- Admitting Coordination
- EMR Updating
- Patient Admission
- Insurance Billing
- Financial Recordkeeping
- Registration Processing
- Patient Contact
- Phone and Email Etiquette
- Money Handling
- Patient Rights
- Benefits Explanations
- Educate Patients
- Clerical and Filing Support
- Word Processing
- 50 WPM Typing Speed
- Informed Consent
- Claims Handling and Coverage Verification
- Medical Filing
- Outpatient Care
- Deductible Collection
- Forms and Spreadsheet Creation
- Billing Issue Resolution and Support
Additional Information
I am a fast learner, a team player and I work hard.
Timeline
Human Resource Specialist
Alight Solutions
05.2022 - Current
Patient Access Specialist
Prisma Health Tuomey Hospital
07.2013 - 08.2020
Diploma -
Lakewood High School