Diligent patient service specialist with a proven track record in effectively addressing patient inquiries and efficiently resolving issues. Implemented successful solutions that significantly improved patient satisfaction and streamlined service processes. Success with one-call resolution when addressing patients questions and concerns. Recognized for strong communication and problem-solving skills, particularly in high-pressure environments.
Hi, I’m
PASCHASIA L. THOMPSON
DeSoto,TX
Summary
Overview
10
years of professional experience
Work History
AmeriHealth Caritas Health Plan
Customer Service Specialist
03.2023 - Current
Job overview
- Assisted patients by providing information and answering questions regarding services.
- Scheduled appointments for improved patient flow and reduced wait times.
- Documented patient interactions for maintaining accurate records.
- Enhanced communication with patients, providing clear instructions and explanations.
- Improved workflow with efficient scheduling and coordination of appointments.
- Verified patient insurance eligibility and entered patient information into system.
Florida Blue Cross Blue Shield
Health Insurance-Under 65 ACA
08.2020 - 02.2023
Job overview
- Responding to potential customers and existing members who want to purchase coverage or add new products to an existing account
- Responsible for explaining the plans summary of benefits and also explaining to the member how claims were paid and what amount is the members responsibility
- Responsible for setting up a payment plan for the balance
- Seeking advocacy for members who are not financially able to pay the balance even with payment plan options is a part of the daily duties of a Health Insurance Chat Agent
Pacific Dental Services
Insurance Collections Specialist
08.2019 - 07.2020
Job overview
- Follow-up on claims payment status for 30-40 accounts per day
- Maintain individual office Insurance Accounts
- Perform insurance verification when needed
- Review patient accounts to ensure accuracy on insurance billing and coding for procedures performed
- Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payment
- Process attachments through National Electronic Attachment (NEA)
- Use various on and offline methods to trace outstanding claims payments
- Use interpersonal and communications skills to obtain claims approval and payment information from carriers
Direct Path
Healthcare Benefits Educator (Travel)
01.2015 - 07.2019
Job overview
- In the role I sit down with employees to assist them with enrolling in group benefits offered by their employer
- Ability to educate each employee on the benefits of the products/coverage that was being offered by their employer
- Ultimately enrolled the employee in the benefits that best fit their needs and budget
- Reviewed the details of each benefit to make sure they understood how to utilize them
- Assisted with finding in-network providers, pharmacies, etc…
- Made follow-up calls to employees to assist with questions and utilizing their plan
Education
Remington CollegeGarland, TX
Major from Medical Billing and Coding-Certification of Completion
01.2020
University Overview
East Central Community CollegeDecatur, MS
Associates Degree from Child Development, Atypical Children
05.2007
University Overview
Skills
- EPIC Systems
- Medicaid State Eligibility Systems
- Customer Service Soft Skills
- Patient relations
- Excellent written and oral communication
- Excel
- Word Documents
- Genesys (phone system)
- Avaya (phone system)
- Natter Box (phone system)
- RX Web
- Sharepoint
- Insurance Verification
- Medical Terminology
- Insurance Terminology
Skills And Systems
Skills And Systems
- Excel
- Word Documents
- SalesForce
- Workday
- Genesys (phone system)
- Natter Box (phone system)
- RX Web
- Sharepoint
- Insurance Appeals
- 1500/UB
- Claims resolution
- Insurance Verification
- SimChart
- Medical Terminology
- Insurance Terminology
Timeline
Customer Service Specialist
AmeriHealth Caritas Health Plan
03.2023 - Current
Health Insurance-Under 65 ACA
Florida Blue Cross Blue Shield
08.2020 - 02.2023
Insurance Collections Specialist
Pacific Dental Services
08.2019 - 07.2020
Healthcare Benefits Educator (Travel)
Direct Path
01.2015 - 07.2019
Remington College
Major from Medical Billing and Coding-Certification of Completion
East Central Community College
Associates Degree from Child Development, Atypical Children
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