Quaneka Harris

• Collecting and verifying patient information, including demographics, medical history, and insurance details.
• Confirming insurance coverage for insulin pumps and related supplies, and addressing any issues with claims or authorizations.
• Processing initial insulin pump orders, ensuring compliance with insurance guidelines and regulations.
• Maintaining accurate and up-to-date records of patient information, insurance details, and order details.
• Communicating with patients, healthcare providers, and insurance companies to facilitate the intake process.
• Providing basic education and support to patients on insulin pump usage and related supplies.
• Understanding of medical terminology related to diabetes and insulin pump therapy.
• Strong customer service skills to provide a positive and supportive experience for patients
• Proficiency in using computer systems, including electronic health records (EHR) and other relevant software.

• Reviewed claims, gathering information, and determining coverage based on policy details and applicable laws.
• Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
• Adhered to State Farm policies, procedures, and legal and regulatory requirements.
• Verified client information by analyzing existing evidence on file.
• Worked with claims adjusters and examiners to expedite processing in alignment with procedures.

• Handled a variety incoming and outgoing calls using the (both through Shore-Tel and from the answering service) regarding new and/or existing members/caregivers DME suppliesSpoke with members, caregivers, doctors and other outside providers to regarding member account and product needs
• Ability to utilize multitask using multiple computer applications/programs.
• Reviewed/Updated all demographic and personal health information in the member’s account, including but not limited to the following: address – both mailing and shipping if different, phone number(s), e-mail address(es), physician information, caregiver(s), etc.
• Accessed and enter data in existing patient accounts following HIPAA guidelines.
• Spoke with members, caregivers, doctors and other outside providers to regarding member account and product needs.

Promoted to Team Lead May 2019

• Led and managed a team of intake specialists, providing coaching, performance management, and training.
• Developed and implemented strategies for billing, payment processing, and collections.
• Prepared reports for management to analyze trends and make recommendations.
• Tracked and analyzed team performance, ensuring timely billing and collection efforts.