Phylicia Reed
Memphis,TN
Summary
Proven Data Entry Specialist with a track record of enhancing workflow efficiency by over 30% at PathAI through expert spreadsheet management and exceptional attention to detail. Excelled in customer service and data verification, significantly improving billing accuracy and client satisfaction at Accredo Specialty Pharmacy. Skilled in database management and insurance processing, demonstrating a strong ability to meet and exceed performance targets.
Overview
11
11
years of professional experience
Work History
Data Entry Specialist
PathAI
2023.03 - Current
- Verifies the insurance data and makes necessary corrections for claims, and preparing invoices.
- Frequently use multiple programs to verify patient insurance is active.
- Responsible for accurately entering insurance per processing payments and requisitions.
- Reviews patent demographics compared to laboratory staff.
- Responsible for verification of charges in billing system match according to final report from LIS.
- Maintains strict confidentiality of sensitive information, adhering to established guidelines and protocols.
- Compiles data and reviewed information for accuracy prior to input.
- Completes data entry tasks with accuracy and efficiency.
- Contributes to team success by consistently meeting or exceeding performance targets in speed, accuracy, and output volume.
Enrollment & Billing Specialist
Accredo Specialty Pharmacy
2019.11 - 2023.03
- Prepared and reviewed claims to ensure billing accuracy according to payer requirements.
- Pursued collection activities to obtain reimbursement from payers.
- Contacted payers to request overrides, retro authorizations.
- Identified root cause of issues and demonstrate the ability to recommend corrective action steps to eliminate future occurrences of denials.
- Ensured the timeliness and accuracy of billing
- Met quality assurance, benchmark standards and maintain productivity levels as defined by management.
- Processed rejections for NCPDP emails to determine if the claim needs to be refiled or submitted for an appeal with the payer
- Able to identify billing trends
- Performed other duties as assigned
- Frequently followed up with payers and / or patients on outstanding accounts.
- Responded to billing inquiries and questions relating to patient accounts.
- Followed up on ICD-9 unpaid claims.
- Accurately posted payments and adjustments
- Frequently used phone/ email / portal communications with patients and payers.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Researched and resolved billing discrepancies to enable accurate billing.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
Telesales Representative
American Home Sheild
2013.08 - 2019.03
- Answered inbound telephone calls from interested customers to persuasively discuss offerings.
- Increased sales by effectively identifying customer needs and presenting tailored solutions.
- Overcame objections using friendly, persuasive strategies.
- Strengthened brand reputation by delivering exceptional service during each interaction with clients.
- Optimized productivity levels, setting personal goals for daily calls made and deals closed successfully.
- Opened new accounts and documented personal, demographic, and payment information in system.
- Delivered scripted sales talks to customers reached via manual and automatic dialing systems.
- Promoted high-quality products confidently knowing they would meet customer''s expectations based on thorough research conducted beforehand.
Education
High School Diploma - General Studies
Westinghouse Career Academy
Chicago, IL06.2003
Skills
- Accuracy and Attention to Detail
- Spreadsheet Management
- Data Collection
- Data Processing
- Data Entry Procedures Knowledge
- Fast Typing Speed
- Identifying errors
- Database Management
- Word Processing
- Excel expertise
- Error Detection
- Data Verification
- Information Verification
- KPI Tracking
- Customer Service-Oriented
- Data Entry
- Administrative Support
- AS/400
- Document processing
- Medical Billing
- Order Processing
- Insurance processing
Accomplishments
Top sales person for 2 years in a row
Timeline
Data Entry Specialist
PathAI
2023.03 - Current
Enrollment & Billing Specialist
Accredo Specialty Pharmacy
2019.11 - 2023.03
Telesales Representative
American Home Sheild
2013.08 - 2019.03
High School Diploma - General Studies
Westinghouse Career Academy