Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Mateshe Proctor

Fort Washington,Maryland

Summary

I am an enthusiastic and motivated individual looking for an exciting opportunity within your company. Given my outgoing, friendly, and people-oriented personality, I connect well with diverse groups and individuals. I am also very well-organized and possess solid communication skills that aid my ability to efficiently support upper management. Responsible and motivated student ready to apply education in the workplace. Offers excellent technical abilities with software and applications, ability to handle challenging work, and excellent time management skills.

Overview

8
8
years of professional experience
1
1
Certification

Work History

CSR III (Contractor)

Codice Tech
08.2023 - Current
  • Perform follow-up work to obtain proof of completion and record all activities performed on CRM/Salesforce/Agency system
  • Use an electronic case management system to document all information obtained during the calls
  • Accurate and detailed inbound and outbound call findings
  • Schedule follow ups as needed
  • Utilize Salesforce document imaging systems to review, store, and retrieve data
  • Monitor the work order management system for work order requests open past the estimated completion date
  • Update work orders with appropriate notes and status using Chatter and other components of the work order system

TPL INSURANCE BILLING VERIFICATION (Contractor)

Codice Tech
01.2023 - 08.2023
  • The CSR make outbound calls to Third-Party Liability (TPL) insurance carriers to obtain information on a specific medical claim or an individual to obtain required information to include patient/beneficiary data, claim amount, determined claim status, and when insurance carriers have mailed a payment/ check
  • Perform follow-up work with insurance carriers and related parties needed to obtain payment, document, and record all activities performed (on an individual claim level basis)
  • Use an electronic case management system to document all information obtained during the call for reason for denial and information needed for rebilling

PROVIDER DATA MANAGEMNT CSR (Contractor)

Codice Tech
01.2022 - 12.2022
  • Performs credentialing and re-validation activities for prospective and current District of Columbia providers according to established guidelines
  • Duties include reviewing provider applications, applying policy and criteria based on provide type, performing source verifications and processing provider files
  • Ensures provider compliance regarding licensing and sanction information with all accrediting organizations and regulatory agencies
  • Maintain provider updates as requested, verifying data, and entering information into MMIS
  • Perform primary source verifications of all practitioner credentials, including licensure, DEA, PECOS, and other credential sources
  • Completes all documentation and data entry in a timely and accurate fashion
  • Follows regulation periods and procedural guidelines for processing applications, updates, and disenrollment activities according to company and contract standards
  • Answer phone calls received through the project toll free number, responding to provider inquiries, and assisting with completing applications

MEDICAL FRONT DESK ADMIN

IMPRESSIONS PEDIACTRIC THERAPY
09.2020 - 01.2022
  • Insurance verification and notifying patients of any deductibles and copays
  • Requesting authorization from insurance companies for client to receive services
  • Contacting insurance companies to resolve any claim issues
  • Handling intakes for new patients, and ensuring we have all the accurate information prior to scheduling
  • Using Clinic Source to schedule or cancel appointments within our 3 Locations
  • Handling Multiple Phone lines for 3 locations, which involves resolving any payment discrepancies, scheduling concerns, and/or wanting more information about services that are offered

Unit Secretary

Inova Hospital
10.2019 - 04.2020
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Provided patient information to facilitate timely admissions and discharges.
  • Managed unit call reception and routed calls to correct department.
  • Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
  • Transcribed doctors' orders, including medication and lab test requests.
  • Executed clerical tasks and assisted with unit duties to keep departments running smoothly.

Main Banker

MGM National Harbor
10.2016 - 10.2019
  • Balanced cash drawers and reconciled discrepancies between physical cash and computer records.
  • Managed supply of cash for the branch, including ordering cash from the vault as necessary.
  • Assisted with the opening and closing of accounts, providing customers with detailed information on bank services.
  • Verified amounts and integrity of every check or funds transfer.
  • Completed thorough and accurate documentation for money movements, deposits or withdrawals.
  • Kept teller window areas clean, organized, and fully stocked.
  • Verified customer identification when cashing checks, exchanging currency, or accepting deposits.
  • Took on additional shifts during busy periods to minimize staffing shortages.
  • Handled cash transactions, balanced cash drawers, performed loan payments and issued cashier's checks.

Education

HIGH SCHOOL DIPLOMA -

THOMAS STONE HIGH SCHOOL

Skills

  • Troubleshooting and Diagnostics
  • Desktop technical support
  • Network troubleshooting
  • Medical Records
  • Insurance Verification
  • Office Administration
  • Attention to detail
  • CRM software
  • Call center experience
  • Complaint handling

Certification

CompTIA ITF+ - January 2025

CompTIA A+ - May 2025

Timeline

CSR III (Contractor)

Codice Tech
08.2023 - Current

TPL INSURANCE BILLING VERIFICATION (Contractor)

Codice Tech
01.2023 - 08.2023

PROVIDER DATA MANAGEMNT CSR (Contractor)

Codice Tech
01.2022 - 12.2022

MEDICAL FRONT DESK ADMIN

IMPRESSIONS PEDIACTRIC THERAPY
09.2020 - 01.2022

Unit Secretary

Inova Hospital
10.2019 - 04.2020

Main Banker

MGM National Harbor
10.2016 - 10.2019

HIGH SCHOOL DIPLOMA -

THOMAS STONE HIGH SCHOOL

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