Summary
Overview
Work History
Education
Skills
Timeline
Generic

Michelle Anderson

Tyler,TX

Summary

Enthusiastic Customer Service professional with expertise in communication and negotiating. Driven to provide superior quality customer service. Innovative in leveraging extensive knowledge of products and services as well as creating solutions for customers to drive loyalty, retention and revenue. Highly adept at training, managing, coaching and mentoring associates with talent for interacting with staff at all levels of organization and public. With supportive knowledge in correcting and resubmitting claims, preparing patient charts and review health records to identify correct codes for billing.

Overview

7
7
years of professional experience

Work History

Enroller/Patient Advocate

Recora
12.2022 - Current
  • Responded to patient concerns and questions with compassionate and knowledgeable service.
  • Worked effectively with staff from all departments to coordinate resolutions.
  • Entered details into computer systems and managed database of information.
  • Educated patients and families on healthcare options and financial support resources.
  • Manage over 50 calls per day.
  • Responded to patient concerns and questions with compassionate and knowledgeable service

Insurance Representative

Fresenius Medical Care
12.2018 - Current
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Communicated with insurance companies to research and resolved coding discrepancies.

Pharmacy Benefit Manager

Prime
03.2021 - 11.2021
  • Checked prescriptions for appropriate dosage, drug interactions, allergies and contra-indications before dispensing medications.
  • Recommended OTC devices or medication options to help mitigate individual symptoms.
  • Communicated regularly with physicians, nurses, insurance companies and managed care organizations.
  • Assessed correct identity, strength and purity of medications when filling prescriptions.
  • Effectively resolved insurance rejections and other billing issues.
  • Complied with all federal laws, company policies and procedures and state regulations regarding intern, technician and assistant training and licensure.

Supervisor

Suddenlink
06.2016 - 12.2018
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
  • Monitored workflow to improve employee time management and increase productivity.
  • Evaluated employee performance and coached and trained to improve weak areas.

Education

Bachelor of Arts - Psychology, Counseling Psychology

UT Tyler
Tyler, TX
12.2017

Associate of Arts - Psychology

Tyler Junior College
Tyler, TX
12.2015

Skills

  • Patient Information Management
  • Patient Rights
  • Verbal and Written Communication
  • Patient Correspondence
  • Quality Assurance
  • Medical Terminology
  • Coverage Determination
  • Billing and Coding
  • CPT Code Modifiers
  • Data Entry
  • Insurance Coverage Review
  • Quotes and Sales

Timeline

Enroller/Patient Advocate

Recora
12.2022 - Current

Pharmacy Benefit Manager

Prime
03.2021 - 11.2021

Insurance Representative

Fresenius Medical Care
12.2018 - Current

Supervisor

Suddenlink
06.2016 - 12.2018

Bachelor of Arts - Psychology, Counseling Psychology

UT Tyler

Associate of Arts - Psychology

Tyler Junior College

Similar Profiles

CREATE PROFILE
Michelle Anderson