Meagan Lawson
Summerville,SC
Summary
Customer Service professional with 7 years of experience. Proven expertise in managing customer inquiries, resolving issues, and maintaining detailed records, with experience in roles such as Senior Licensed Customer Service Associate and Dispatcher. Skilled in time management, organizational skills, and proficient in Microsoft Outlook and account management.
Overview
10
10
years of professional experience
Work History
Medical Insurance Specialist
Elms Digestive
North Charleston, SC
06.2024 - Current
- Evaluated patient accounts for prior authorization requirements and obtained necessary authorizations for medical procedures.
- Processed high volumes of insurance and patient payments while applying accurate contractual adjustments to maintain compliance.
- Managed and assessed unpaid claims reports to facilitate timely follow-up on outstanding balances.
- Addressed billing inquiries and processed payments during customer service calls to enhance client satisfaction.
Provider Enrollment Representative
First Coast Service Options/Novitas Solutions
Jacksonville, FL
07.2023 - 06.2024
- Established Electronic Funds Transfer (EFT) for Medicare payments while maintaining accurate enrollment records to streamline payment processes.
- Validated provider information to ensure compliance with state and federal regulations for Medicare enrollment applications, contributing to regulatory adherence.
- Analyzed supporting documentation for completeness and made final determinations on application statuses, facilitating timely processing.
Dispatcher
Truesource, LLC
08.2021 - 10.2022
- Coordinated service calls, communicating with customers and affiliates to ensure compliance with guidelines and timely service execution.
- Liaised to resolve issues between customers and affiliates, balancing satisfaction with cost control to enhance gross profit.
- Maintained documentation of service calls and issues in internal and external systems, ensuring accessibility of up-to-date information.
Information and Referral Specialist
Home Therapy Products
Middleburg, FL
10.2019 - 08.2021
- Secured prior authorizations for diagnostic services and evaluations, ensuring compliance with healthcare regulations to support timely patient care.
- Processed referrals and directed to appropriate nursing staff, ensuring accurate scheduling and confirming program eligibility through insurance verification to streamline patient access.
- Maintained and managed health information databases, enabling effective communication and conducting outbound calls to providers for information gathering to enhance data accuracy.
Order Processing Representative
Remedy Intelligent Staffing
05.2019 - 09.2019
- Resolved business-to-business customer inquiries and complaints, updating records to ensure accurate information for future interactions.
- Processed orders via phone, email, and fax, coordinating with internal distribution center team to ensure timely order fulfillment and accurate product availability.
- Managed customer order processing by accurately entering details into the system. for Remedy Intelligent Staffing staffing assignments.
- Entered order data into company systems with careful accuracy.
- Verified order details against client requests and staffing records.
Senior Licensed Customer Service Associate
Voya Financial
Jacksonville, FL
09.2016 - 04.2019
- Managed mutual fund and annuity transactions, reallocations, distributions, and account servicing for death claims to ensure timely resolution.
- Clarified contract requirements and researched inquiries, providing accurate information to financial advisors to support informed decision-making.
- Investigated problems, presented solutions, and escalated complex concerns to enhance customer satisfaction and service efficiency.
Education
GED (GED) -
Timeline
Medical Insurance Specialist
Elms Digestive
06.2024 - Current
Provider Enrollment Representative
First Coast Service Options/Novitas Solutions
07.2023 - 06.2024
Dispatcher
Truesource, LLC
08.2021 - 10.2022
Information and Referral Specialist
Home Therapy Products
10.2019 - 08.2021
Order Processing Representative
Remedy Intelligent Staffing
05.2019 - 09.2019
Senior Licensed Customer Service Associate
Voya Financial
09.2016 - 04.2019