Marealle Summerbell
Riverview,USA
Summary
Personable and organized with strong communication skills and proactive attitude. Familiar with office software and data entry. Capable of supporting office operations efficiently and effectively.Bringing high level of accuracy and dedication to data management tasks. Possesses fundamental understanding of data entry protocols and proficient in using data entry software and spreadsheets. Able to efficiently support organizational goals through meticulous data handling and timely task completion.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Data Entry
Leidos Innovations
12.2023 - Current
- Process part orders accurately and efficiently, ensuring timely fulfillment and delivery to customers
- Coordinate with internal departments and external suppliers to procure required parts and components
- Serve as the primary point of contact for customers, addressing inquiries, providing updates on service requests, and ensuring clear and timely communication throughout the mobile service process
- Maintain schedules for service appointments, installations, and repairs, ensuring adherence to timelines and efficient allocation of resources
- Monitor schedule changes and proactively communicate updates to customers and relevant stakeholders
- Maintain accurate records of service history for each customer, including past service requests, repairs, and maintenance activities
- Ensure completeness and accuracy of service records to facilitate effective troubleshooting and support
- Monitor and manage recalls, safety alerts, and product advisories, ensuring prompt communication with affected customers and coordination of necessary actions
- Extract and compile data from internal databases and systems to support service operations, reporting, and analysis
- Ensure data integrity and accuracy when pulling information for service-related activities
- Process customer billing accurately and efficiently, generating invoices, reconciling accounts, and ensuring timely payment collection
- Address billing inquiries and discrepancies, coordinating with finance and accounting teams as needed
- Maintained accurate records through diligent data entry and document management practices.
- Improved billing efficiency by streamlining data entry processes and utilizing automated systems.
- Supported accurate data entry for various projects, ensuring timely completion of tasks.
- Implemented data entry protocols that maintained accuracy in client databases while reducing time spent on manual data entry tasks.
Registration Representative
United Vein & Vascular Centers
03.2023 - Current
- Professionally interviews patients following established standards and procedures obtains complete and updated patient information at time of service
- Accounts are correctly completed
- Completes scheduling / pre-registration / registration / admission process and follow up within established timeframes - meets or exceeds wait time goals
- Schedules patients as necessary; operates the scheduling system correctly and follows established guidelines for scheduling patients
- Maintains acceptable QA score
- Performs accurate and timely scanning of physician orders and other items into the scanning system
- Enters accurate and appropriate account notes
- Demonstrates knowledge and ability in using department equipment including periods of downtime
- Provided thorough information about admissions policies, financial requirements, and check-in procedures.
- Improved overall work environment through active participation in department meetings, sharing ideas for enhancements, and supporting team-building initiatives.
- Supported hospital compliance efforts by adhering to HIPAA guidelines and maintaining the confidentiality of patient information.
- Managed high-stress situations calmly while assisting patients experiencing medical emergencies or other urgent matters.
- Demonstrated adaptability in mastering new registration systems, software upgrades, and evolving industry regulations.
- Collected demographic and insurance information from patients.
- Contributed to revenue growth by identifying opportunities for additional services or insurance billing adjustments.
- Verified insurance benefits, processed payments, and issued receipts.
- Coordinated with clinical departments to schedule appointments, confirm availability, and communicate any changes to patients.
- Developed positive relationships with insurance companies to expedite claims processing and resolve billing issues efficiently.
- Reduced errors in data entry through thorough review of inputted information and timely corrections when necessary.
Claims Support Specialist
United Healthcare Group
06.2020 - Current
- Analyze and investigate complicated insurance claims to help prevent fraud
- Perform detailed site inspections
- If necessary, provide well-informed court testimonies
- Review and process new claims reports and court verdicts
- Collaborate with internal team and external client to research and resolve any disputes or discrepancies in billed amounts and/or payment transactions
- Prepare timely and accurate billing for external clients
- Document all collections efforts and transaction records
- Reconcile member accounts as needed
- Prepare bad debt write-off as needed
- Research and process refunds as needed
- Maintain low volume in assigned error queues within the billing system
- Performs other duties as assigned
- Complies with all policies and standards
- Assisted in optimizing existing processes through continuous improvement efforts, resulting in increased operational efficiencies.
- Provided comprehensive administrative support to the Claims Department, ensuring efficient daily operations and smooth case handling.
- Conducted thorough research on claimant backgrounds, validating information accuracy before proceeding with case evaluations.
- Handled escalated issues from clients regarding their claims process, working collaboratively with relevant parties to resolve concerns quickly.
- Identified potential fraud cases through detailed analysis of claim documents and patterns, referring suspicious cases for further investigation.
- Reduced claim resolution time by effectively coordinating with adjusters, appraisers, and other team members.
- Ensured accurate financial transactions for claims settlements, maintaining high levels of accuracy in disbursements.
- Managed claims-related correspondence efficiently, ensuring timely responses to internal and external stakeholders'' queries or requests.
Client Service Specialist II
General Dynamic
11.2014 - 06.2020
- Assessed clinical rules and advantage inclusion to decide suitability of administrations
- Creates and keeps up with positive client relations and directions with different capabilities inside the organization to guarantee client demands and questions are taken care of suitably and sooner rather than later
- Offers non-clinical help for the approaches and methods guaranteeing best and most suitable treatment, career administrations for individuals
- Get approvals for all interior administrations from patient's PCP as well as overseen care organizations
- Liable for the distinguishing proof and information passage of reference demands into the UM framework as per the arrangement testament
- Maintained prevalent quality rating of 94% in record dealing with and claims goal, surpassing the
- Conduct outbound calls to potential customers
- Handle customer service inquiries and problems
- Receiving inbound customer calls
- Identify what are the customer's needs and then route them to the appropriate department
- Handling a blended call center environment with make outbound and taking inbound calls
- Document all call information accurately in the system
- Maintained detailed records of client interactions, facilitating seamless handoffs between team members when necessary.
- Developed strong relationships with clients, fostering trust and loyalty through consistent communication and personalized service.
- Managed client accounts with attention to detail, ensuring accurate billing and recordkeeping.
- Streamlined internal processes for improved efficiency and timely service delivery to clients.
- Implemented a proactive approach towards anticipating potential roadblocks or challenges impacting the success of a given project or relationship.
- Delivered exceptional customer service through timely responses and personalized follow-up communications.
- Collaborated with cross-functional teams to develop customized solutions, tailored to meet specific client needs.
- Trained new team members on best practices in client services, elevating overall team performance.
- Collaborated with other departments to develop ways to increase customer satisfaction.
Mortgage Loan Officer
Link Staffing Services
02.2013 - 11.2015
- Evaluate credit worthiness by processing loan applications and documentation within specified limits
- Interview applicants to determine financial eligibility and feasibility of granting loans
- Determine all applicable ratios and metrics and set up debt payment plans
- Communicate with clients either to request or to provide information
- Justify decisions (approvals/rejections) and report on them
- Complete loan contracts and counsel clients on policies and restrictions
- Update job knowledge on types of loans and other financial services
- Maintain and update account records
- Assess customer needs, explore all options and introduce different types of loans
- Develop referral networks, suggest alternate channels and cross-sell products and services to accomplish quotas
- Go the 'extra mile' to build trust relationships, customer loyalty and satisfaction throughout the underwriting process
- Operate in compliance with laws and regulations and adhere to lending compliance guidelines
- Clear conditions, including but not limited to credit and title conditions
- Prep loan files for review by an Underwriter to determine eligibility within HomeXpress' guidelines
- Assisting Underwriters as needed to move pipeline in a forward trajectory
- Verify completeness of credit file
- Calculate income
Senior Appeal Representative
Centene
10.2012 - 03.2013
- Created IRA packets for second level appeal
- Reviewed submitted Medical Records and plan documentation for appeals for pre and post services for Medicare beneficiaries
- Submitted verbal and written notification to members and providers
- Remained knowledgeable regarding CMS and company policies and procedures and current development within operational departments
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
- Enhanced company reputation by providing exceptional customer service and support.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
- Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere.
- Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
Education
Associates Degree - Business
Hillsborough Community College
Tampa, FLCna completion - Nursing
Hillsborough Community College
Tampa, FL12.2017
Skills
- Claims
- Data entry
- Microsoft Excel
- Interpersonal skills
- Communication skills
- Collaboration skills
- Customer service
- Time management
- Surgery
- Medical Records
- Microsoft Office
- Medical billing
- Windows
- Financial services
- Computer skills
- Exceptional written and oral communications
- Microsoft Powerpoint
- Conflict management
- Cash handling
- Documentation Review
- SharePoint
- Negotiation
- Medical terminology
- Project management
- MS Office Suite
- HIPAA
- Hospitality
- Sales
- SOX
- Typing
- Analysis skills
- Organizational skills
- CRM Software
- Epic
- Microsoft Word
- Guest services
- Phone etiquette
- Customer support
Certification
- Driver's License, 11/01/24, 11/01/29
- BLS Certification, 02/01/25, 02/01/27
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Accomplishments
- Maintained an average typing speed of 45 WPM on all assignments.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
Languages
English
Full Professional
Timeline
Data Entry
Leidos Innovations
12.2023 - Current
Registration Representative
United Vein & Vascular Centers
03.2023 - Current
Claims Support Specialist
United Healthcare Group
06.2020 - Current
Client Service Specialist II
General Dynamic
11.2014 - 06.2020
Mortgage Loan Officer
Link Staffing Services
02.2013 - 11.2015
Senior Appeal Representative
Centene
10.2012 - 03.2013
Associates Degree - Business
Hillsborough Community College
Cna completion - Nursing
Hillsborough Community College
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