Marshae Davis
Princeton,Tx
Summary
Achieved rapid promotion to team lead by cultivating a high-performing team culture. Enhanced problem-solving processes, resulting in improved team efficiency and effectiveness. Fostered a supportive atmosphere that motivated colleagues to pursue continuous learning and development.
Overview
6
6
years of professional experience
Work History
Prior Authorization specialist
IKS HEALTH
Coppell, TX
11.2024 - Current
- Oversaw monitoring of incoming patient orders and compiled necessary information for pre-authorization and scheduling processes.
- Facilitated submission of medical records to insurance, ensuring compliance with HIPAA guidelines.
- Facilitated correspondence with insurance companies to expedite processing of RFS forms.
Customer service/billing specialist
Iks Health
Coppell, TX
01.2024 - 11.2024
- Handled incoming customer calls, ensuring timely and informative responses to inquiries.
- Managed customer grievances by implementing fair resolution strategies.
- Identified and relayed customer concerns to appropriate leadership for enhanced service quality.
Customer service representative
Signius communications
Mobile, AL
03.2023 - 11.2023
- Handled incoming calls by establishing caller intent and coordinating with relevant team members to address customer inquiries effectively.
- Coordinated communication between patients and physicians, addressing emergencies and rescheduling appointments to ensure efficient operations.
Mail handler assistant
Usps
09.2022 - 01.2023
- Load, unload and move mail and packages.
- Organizes, handles and distributes mail to Carriers.
- Loading and unloading mail trucks, using machinery to sort through the mail and preparing large mail batches for distribution.
CSR/Claims Specialist
Results cx
Mobile, AL
01.2020 - 10.2022
- Managed customer interactions by responding to concerns and inquiries, ensuring support for Blue Cross Blue Shield services.
- Oversaw account access and maintained policy schedules to enhance client service and operational efficiency.
- Enhanced customer understanding by clarifying benefits and insurance terminology for patients through detailed policy explanations.
- Streamlined claims procedures to enhance efficiency and maintained current prior authorization data to support patient services.
- Managed mailing operations for billing statements and explanation of benefits requests to ensure timely delivery to patients.
Education
Bachelor of Arts - Liberal Arts
Snhu
New Hampshire Esthetics License - Esthetics
Blue Cliff Career College
Mobile, AL03.2011
Business
University of South Alabama
01.2007
High school - Academics
W.P Davidson High School
Mobile, AL05.2004
Skills
- Customer service
- Computer
- Problems solving
- Data entry
- Insurance verification
- Prior authorization
- Claims/ benefits
- Typing
- Healthcare terminology
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
- Patient referrals
- Effective communication skills
- Electronic health records proficiency
- Benefit coverage
- Professionalism and ethics
- Billing procedures
- Workflow management
- Insurance procedures
- Retro-authorizations
- Records maintenance
- Patient confidentiality compliance
- Pharmacy benefit management
- Patient scheduling
- Provider relations
- Claims processing experience
- Claim research
- Utilization review experience
- Issue research
- Knowledgeable in software
- Critical thinking
- HIPAA compliance
- ICD-10 coding
- Healthcare regulations
- Referral coordination
- Eligibility determination
- Telephone etiquette
- Appointment scheduling
- Documentation and paperwork
- Resource information
- Payment collection
- Teamwork
- Attention to detail
- Problem-solving abilities
- Multitasking Abilities
- Reliability
- Excellent communication
- Organizational skills
- Team collaboration
- Flexibility
- Active listening
- Effective communication
- Adaptability and flexibility
- Decision-making
- Relationship building
- Documentation skills
- Task prioritization
- Goal setting
- Risk assessment
- Professionalism
- Record keeping
- De-escalation techniques
Timeline
Prior Authorization specialist
IKS HEALTH
11.2024 - Current
Customer service/billing specialist
Iks Health
01.2024 - 11.2024
Customer service representative
Signius communications
03.2023 - 11.2023
Mail handler assistant
Usps
09.2022 - 01.2023
CSR/Claims Specialist
Results cx
01.2020 - 10.2022
Business
University of South Alabama
Bachelor of Arts - Liberal Arts
Snhu
Esthetics License - Esthetics
Blue Cliff Career College
High school - Academics
W.P Davidson High School