Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Neeshia Hurst

Montgomery

Summary

Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 10 years of Health experience.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Claims Agent

VDart
01.2021 - Current
  • Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
  • Reduced claims processing time by implementing efficient workflow strategies and prioritizing tasks.
  • Streamlined daily operations, ensuring accurate transaction processing and efficient customer service delivery.
  • Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
  • Collaborated with cross-functional teams to expedite complex claims investigations and resolutions

Medical Assistant Extern

Dr William Sergeant
09.2019 - 12.2021
  • Addressed patient inquiries promptly, providing clear explanations about treatment plans, insurance coverage, billing processes, or other concerns as needed.
  • Reduced errors in billing and insurance claims processing by maintaining accurate patient records and staying updated on industry regulations.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Handled customer inquiries and suggestions courteously and professionally.

Inbound Call Center Representative

UPS
11.2017 - 11.2019
  • Managed high call volume with exceptional professionalism and efficiency.
  • Answered phone with friendly greeting to create positive inbound calling experience for customers.
  • Generated additional sales opportunities with upselling and cross-selling techniques.
  • Emphasized product specifications to meet customer needs.
  • Built strong relationships with clients through attentive service, leading to repeat business and referrals.

Healthcare Customer Service Representative

Cordant Health Solutions
08.2018 - 09.2019
  • Managed approximately a high volume of 200 calls daily, maintaining composure under pressure while providing exceptional service.
  • Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
  • Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries.
  • Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.

Education

Golden Health Services

G.W Carver
05.2007

Skills

  • Customer Service Inbound and Outbound Calling Microsoft Office Suite Data Entry and Analysis Claims Processing Verbal and Written Communication
  • Clerical Duties Complex Problem-Solving Typing Proficiency (45 WPM) Quality Assurance

Certification

  • Certified Clinical Medical Assistant, Golden Health Services - 2019

Timeline

Claims Agent

VDart
01.2021 - Current

Medical Assistant Extern

Dr William Sergeant
09.2019 - 12.2021

Healthcare Customer Service Representative

Cordant Health Solutions
08.2018 - 09.2019

Inbound Call Center Representative

UPS
11.2017 - 11.2019

Golden Health Services

G.W Carver
Neeshia Hurst