Mashuwa Hines
Clarksville,TN
Summary
Skilled in legal research and possessing strong interpersonal abilities, I significantly contributed to team training and maintained strict HIPAA compliance, fostering a positive and productive work environment.
Offering thorough understanding of legal principles and terminology, eager to learn and develop in professional legal environment. Contributes solid research and documentation skills, preparing legal documents and conducting in-depth research. Ready to use and develop drafting and analytical skills in Paralegal Internship role.
Offering thorough understanding of legal principles and terminology, eager to learn and develop in professional legal environment. Contributes solid research and documentation skills, preparing legal documents and conducting in-depth research. Ready to use and develop drafting and analytical skills in paralegal internship role.
Driven and detail-focused with strong foundation in legal research and documentation. Possesses solid understanding of legal terminology and procedures, and skilled in drafting legal documents and conducting thorough research. Committed to leveraging skills to support legal teams effectively and ensure accurate and timely handling of cases.
Overview
2
2
years of professional experience
Work History
Medical Customer Service Representative
Brighton Health Plan Solutions
01.2023 - Current
- Managed high call volume with professionalism and empathy, ensuring timely resolution of customer concerns.
- Enhanced patient satisfaction by addressing inquiries and resolving issues related to medical appointments, billing, and insurance.
- Handled sensitive patient information with confidentiality, adhering to HIPAA regulations at all times.
- Resolved escalated customer complaints efficiently while maintaining composure under pressure situations.
- Assisted in training new team members on company policies and best practices in medical customer service delivery.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Contributed to a positive work environment by cooperating with colleagues and maintaining open lines of communication across departments.
- Followed up with customers on unresolved issues.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Implemented electronic health record systems, streamlining data entry and access for healthcare providers.
- Reduced errors in data entry tasks by implementing thorough quality control measures.
- Completed time-sensitive data entry requests.
- Provided excellent customer service through attentive listening, empathetic communication, and efficient problem-solving during the scheduling process.
- Answered phone calls and answered questions from potential customers.
- Managed high call volume while maintaining professionalism and accuracy when gathering client information for appointment bookings.
- Acted as first point of contact and set appointments for prospective clients.
Education
No Degree - Paralegal Studies
Regent University
Virginia Beach, VA10-2025
Skills
- Legal research
- Legal writing
- Case analysis
- Document drafting
- Legal terminology
- Team collaboration
- Microsoft office
- Proofreading
- Project Support
- Document preparation
- Legal document preparation
- Research and data collection
- Deadline monitoring
- Interpersonal skills
- Appointment scheduling
- Professionalism
- Time management abilities
- LexisNexis
Timeline
Medical Customer Service Representative
Brighton Health Plan Solutions
01.2023 - Current
No Degree - Paralegal Studies
Regent University
Similar Profiles
Emily WolfeEmily Wolfe
Intake Coordinator at Brighton Health Plan SolutionsIntake Coordinator at Brighton Health Plan Solutions
Victoria GvinterVictoria Gvinter
Eligibility and Enrollment Supervisor at Brighton Health Plan Solutions LLCEligibility and Enrollment Supervisor at Brighton Health Plan Solutions LLC
Yisuris PenaYisuris Pena
Enrollment and Eligibility Specialist at Brighton Health Plan SolutionsEnrollment and Eligibility Specialist at Brighton Health Plan Solutions