Mary Carelock
Polkton,NC
Summary
A highly dedicated Healthcare Customer Care Representative with over 10 years of experience in the healthcare field. Proven track record of successfully managing a wide variety of healthcare-related tasks and projects, while ensuring superior customer service. Demonstrated ability to develop and implement health initiatives and programs. Possess expertise in health care compliance, utilization management, ans credentialing.
Overview
10
10
years of professional experience
Work History
Patient Access Representative
Pediatrix Medical Group- Remote
12.2023 - 03.2025
- Ensured compliance with HIPPA regulations to maintain confidentiaity of sensitive patient information during all interactions.
- Enhanced overall patient patient experience with empathetic communicationsand thorough explantions of insurance benifits and coverage.
- Facilated smooth biling process by verifying insurance eigbility, obtaining authorizations, and accurately entering claim details into the system.
Pharmacy Customer Service Representative
Continnum Global
Charlotte, NC/ Hybrib
01.2020 - 12.2023
- Demonstrated adaptability through cross-training in various roles within the setting to better serve customers as needed.
- Collaborated with pharmacists to resolve drug therapy issues, optimizing patients' overall health outcomes.
- Provided proactive solutions for common customer inquiries, leading to increased satisfaction ratings.
Customer Service Center
Walmart
Wadesboro, NC
05.2015 - 01.2020
- Developed strong customer relationships to ensure customer satisfaction
- Processed refunds and exchanges in accordance with company policies
- Updated customer records and entered data entered into computer system
Education
High School Diploma -
Anson High School
Wadesboro, NC06-2006
Skills
- Medical codes and terminology
- insurance billing
- HIPPA knowledge
- Scheduling software
- EMR software
- Data Entry
- Detailed orientated
- Outbound and Inbound Calling
- Typing 50WPM
- Proficient in Microsoft office and excel
- Knowledge of healthcare compliance and utilization management
Timeline
Patient Access Representative
Pediatrix Medical Group- Remote
12.2023 - 03.2025
Pharmacy Customer Service Representative
Continnum Global
01.2020 - 12.2023
Customer Service Center
Walmart
05.2015 - 01.2020
High School Diploma -
Anson High School