Open To Work
Ojetta Prince
Charlotte,NC
Summary
Disciplined and enthusiastic customer service representative with an extensive background in the healthcare industry. Goal oriented and production driven individual with a primary focus to promote teamwork and strong work ethics. Educated on the necessary tools in Medical Billing and Healthcare Administration that will lead to becoming an asset to any organization. Proven experience in education industry, excellent communication and organizational skills and committed to excellence.
Overview
1
1
Certification
11
11
years of professional experience
Work History
Reimbursement Specialist
CareMetx
Charlotte, NC
08.2025 - 10.2025
- Submission of prior authorization request to PBM via fax, phone or through CoverMyMeds. Prior authorizations related to weight loss medication
- Benefit Verification Specialist -Talent bridge-Caremetx-Charlotte NC
EBO Agent
Revco Solutions
Charlotte, NC
08.2024 - 11.2024
- Post payment to outstanding bills, create payment plans, answer billing and EOB questions, and payment discount to qualifying accounts in EPIC. Required to meet production and quality metrics.
- December 2024- February 2025
- Outbound calls to insurance companies regarding obtaining patient eligibility and benefit status for injectable medication under major medical and pharmacy plans
Revenue Cycle Specialist
First Source Solutions
Charlotte, NC
03.2024 - 07.2024
- Performed Account Receivable tasks which includes professional billing claims follow up through provider portals and calling third party payers. Submit payer required documentation for claim processing via fax, mail and provider portals. Processed claim denial through sending appeals, COB letters to patients and medical records. Upload EOBs and remittance to EPIC via OnBase. Review EOBs and remittance to determine how claims processed.
Benefit Verification Specialist
Talentbridge-Caremetx
Charlotte, NC
12.2023 - 02.2024
- Outbound calls to insurance companies regarding obtaining patient eligibility and benefit status for injectable medication under major medical and pharmacy plans
Intake Specialist
BCBSNC
Charlotte, NC
09.2023 - 10.2023
- Received inbound calls from specialty pharmacies, providers, and patients to check prior authorization requirements and status on medication. Researched NPI registry, Prime Therapeutics, CoverMyMeds and Care Radius to determine if a prior authorization is needed also viewed any formulary changes.
Case Manager
McKesson
Charlotte, NC
12.2022 - 03.2023
- Manage oncology meds for cancer patients through calling providers for any missing information needed to complete and patients’ assistance program. Updating patient cases with insurance information
Trainee in Medical Billing
Quiana Craig from “ask the biller.”
11.2022 - 12.2022
- Learning the revenue cycle management beginning with appointment scheduling, insurance verification, charge entry, explanation of benefit interpretation, and payment posting in the Office Ally practice management software
Internee in Medical Billing and Coding
Unique boutique at Southeastern Institute
08.2022 - 08.2022
- Completed CMS 1500 claim form with charges and payment information. Updating patient cases with insurance information.
Benefit Verification Specialist
Talent bridge
Charlotte, NC
11.2021 - 02.2022
- Outbound calls to insurance companies regarding obtaining patient eligibility and benefit status for oncology medication under major medical and pharmacy plans
EBO Agent
Meduit
Charlotte, NC
08.2021 - 10.2021
- Post payment to outstanding bills, create payment plans, answer billing and EOB questions, and payment discount to qualifying accounts in EPIC. Required to meet production and quality metrics.
CSR III
Maximus Federal-Talentbridge
Charlotte, NC
05.2021 - 07.2021
- Assist individual in locating vaccine and answering COVID -19 questions.
Benefit Verification Specialist
Talentbridge
Charlotte, NC
11.2020 - 02.2021
- Outbound calls to insurance companies regarding obtaining patient eligibility and benefit status for oncology medication under major medical and pharmacy plans.
Student Consultant
SNHU
Manchester, NH
10.2019 - 03.2020
- Researched and strategized converting 25 beds to Inpatient Rehabilitation Facility (IRF) beds to increase revenue. Analyzed federal, state, and third-party payer regulations and reporting guidelines for reimbursement compliance.
Health Care Customer Service Advocate
Optum
Charlotte, NC
10.2015 - 03.2016
- Inbound calls from patients and providers regarding verifying eligibility, benefits, prior authorization, and appeals. Reviewed claim status and denials. Discuss Medicare part C and D guidelines and coverages. Post payment for premium
Healthcare Customers Service Representative
Connexions
Charlotte, NC
05.2014 - 09.2014
- Outbound calls to patients regarding scheduling annual wellness exam. Facilitated conference calls between patients and providers to schedule appointments. Quality Metrics and Production Awards
Education
Denial Resolution Management Course
AAPC
Diploma - Medical Billing and Coding
Southeastern Institute
Bachelor of Science - Health Care Management
Lander University
Master of Science - Health Administration
Southern New Hampshire University
Associate of Science - Funeral Service
Piedmont Technical College
Certification - CPB And CPC
AAPC
Remote 02.2026 - Current
Skills
EMR Systems
Medical Billing
Medical Records
Medical Terminology
Insurance Verification and follow up
Cold Calling
Microsoft Word
Medical Office Experience
ICD-10 and CPT Coding
Microsoft Excel
Office Ally
Customer Service
Epic
Revenue Cycle management
Mysis-Tiger
FACS
Medisoft
CMS-1500
Kareo
Practice Fusion
Benefit Verification
Availity
Document Management
Certification
Certification Certified Billing and Coding Specialist
Work Preference
Job Search Status
Open to workWork Type
Full TimePart TimeContract WorkGig WorkLocation Preference
RemoteHybridOn-SiteSalary Range
$45000/yr - $200000/yrTimeline
Certification - CPB And CPC
AAPC
02.2026 - Current
Reimbursement Specialist
CareMetx
08.2025 - 10.2025
EBO Agent
Revco Solutions
08.2024 - 11.2024
Revenue Cycle Specialist
First Source Solutions
03.2024 - 07.2024
Benefit Verification Specialist
Talentbridge-Caremetx
12.2023 - 02.2024
Intake Specialist
BCBSNC
09.2023 - 10.2023
Case Manager
McKesson
12.2022 - 03.2023
Trainee in Medical Billing
Quiana Craig from “ask the biller.”
11.2022 - 12.2022
Internee in Medical Billing and Coding
Unique boutique at Southeastern Institute
08.2022 - 08.2022
Benefit Verification Specialist
Talent bridge
11.2021 - 02.2022
EBO Agent
Meduit
08.2021 - 10.2021
CSR III
Maximus Federal-Talentbridge
05.2021 - 07.2021
Benefit Verification Specialist
Talentbridge
11.2020 - 02.2021
Student Consultant
SNHU
10.2019 - 03.2020
Health Care Customer Service Advocate
Optum
10.2015 - 03.2016
Healthcare Customers Service Representative
Connexions
05.2014 - 09.2014
Denial Resolution Management Course
AAPC
Diploma - Medical Billing and Coding
Southeastern Institute
Bachelor of Science - Health Care Management
Lander University
Master of Science - Health Administration
Southern New Hampshire University
Associate of Science - Funeral Service
Piedmont Technical College