Summary
Overview
Work History
Education
Skills
Timeline
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Paris Watkins

Philadelphia,PA

Summary

Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.

Overview

18
18
years of professional experience

Work History

Patient Access Representative

Temple University Health System
Philadelphia, PA
12.2023 - Current
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Utilized EPIC database to gather and process all registration, billing and related information from patients.
  • Organized patient care by ensuring timely and accurate completion of call routing for medication management, scheduling Pulmonary appointments, CT Scans and Pulmonary Function Test.
  • Transcribed orders for Radiology and Pulmonary Function tests.

Customer Relationship Advocate

American Board of Internal Medicine
Philadelphia, PA
12.2017 - 08.2023
  • Manages customer relationships through various channels of communication
  • Ensures customer information is current and accurate within the customer relationship management (CRM) system, and other customer tracking tools
  • Proficient in the ability to comprehend and retain current and historical knowledge regarding the ABIM’s products and services through self-led learning and educational workshops
  • Practices patience and skillfulness to guide examination candidates and diplomates through their individual training and recertification pathways.
  • Mentored new employees on procedures and policies to maximize team performance.
  • Completed mail requests to verify physician certification status with State Licensing Boards and potential employers.

Broker Care Specialist

Independence Blue Cross
Philadelphia, PA
07.2014 - 12.2016
  • Assisted over 1,000 Field Agents to sell Medicare products while assuring compliance with CMS and Medicare guidelines
  • Educated Field Representatives through explanation of features, advantages, and disadvantages of various policies to promote sale of insurance plans
  • Facilitated the resolution of member inquiries by communicating broker questions regarding Independence Blue Cross and AmeriHealth claims, billing, benefits and enrollments to the Member Help Team.
  • Maintained professional, positive, and helpful relationships with teammates by using diplomacy and cooperation

Customer Service Representative

Highmark Blue Cross Blue Shield
Blue Bell, PA
12.2013 - 05.2014
  • Processed ACH, Debit/Credit payments online and confirmed new member enrollments while ensuring proper payment has been applied.
  • Referred customer inquiries to designated departments for a resolution.
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
  • Investigated and resolved issues to maintain billing accuracy.
  • Utilized proficient multitasking skills to achieve maximum productivity.

Licensed Insurance Agent

HCSC
08.2013 - 12.2013
  • Worked efficiently in a high call volume call center educating Medicare recipients on plan benefits and rights while assisting with enrollments in Medicare Supplemental policies
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Conducted customer needs assessments to identify appropriate coverage levels and options.
  • Accurately documented, researched, and resolved customer issues while utilizing databases such as Salesforce, Ebill, Outlook, and electronic company resources.

File Clerk/ Customer Service Representative

The MCS Group
Philadelphia, PA
12.2006 - 05.2009
  • Filed, purged, and organized all medical legal records
  • Made outbound calls to facilities to obtain medical/legal records for clients
  • Performed administrative duties for customer service department such as scanning, faxing, mail, and disbursement of inbound correspondence.
  • Scanned hard copy files into digital format for archival purposes. Enters all pertinent data in the appropriate EMR computer systems
  • Sorted documents according to established procedures for further processing or review.
  • Created and maintained filing systems for easy access to client records.
  • Initiate actions to resolve discrepancies and obtain information so that incomplete or erroneous records can be corrected.

Education

Associate of Science -

Community College of Philadelphia
Philadelphia, PA
05.2014

Skills

  • Call Management
  • Customer Service
  • CRM and EMR Software
  • Microsoft Office
  • Appointment Scheduling
  • File/Records Maintenance
  • Office Administration
  • Medical Terminology Proficiency

Timeline

Patient Access Representative

Temple University Health System
12.2023 - Current

Customer Relationship Advocate

American Board of Internal Medicine
12.2017 - 08.2023

Broker Care Specialist

Independence Blue Cross
07.2014 - 12.2016

Customer Service Representative

Highmark Blue Cross Blue Shield
12.2013 - 05.2014

Licensed Insurance Agent

HCSC
08.2013 - 12.2013

File Clerk/ Customer Service Representative

The MCS Group
12.2006 - 05.2009

Associate of Science -

Community College of Philadelphia
Paris Watkins