Summary

Overview

Work History

Education

Skills

Timeline

FAIRY STEWART

THOMASTON

Summary

Skilled in claims resolution with experience negotiating and settling complex insurance disputes. Brings strong analytical skills, adeptness at interpreting policy language, and ability to effectively communicate with all stakeholders. Known for providing comprehensive problem-solving while maintaining high levels of customer satisfaction. Previous work has led to reduced case backlog and improved operational efficiency.

Overview

years of professional experience

Work History

Patient Qualification Specialist

Apria Healthcare

06.2023 - Current

Advised management on organizing, preparing or implementing recruiting or retention programs.
Evaluated current processes and procedures related to qualification assessment and made recommendations for improvement where needed.

Customer Service Representative

Alorica, Navitus

07.2022 - 07.2023

Assisted patients with inquiries and directed medical questions to pharmacists, enhancing service quality
Verified patient data and processed insurance claims, ensuring accuracy
Prepared detailed reports summarizing all activities pertaining to each claim.
Reviewed, evaluated and processed incoming claims to determine eligibility for coverage based on policy provisions.
Analyzed information gathered by investigations and reported findings and recommendations.
Processed payments promptly upon approval of a valid claim.

Patient Care Technician

Davita Dialysis

Atlanta

10.2021 - 01.2023

Company Overview: Atlanta, Ga
Verify patient eligibility, ensuring accurate service delivery and improved clinic operations
Coordinate appointments, enhancing patient satisfaction and operational efficiency
Build patient relationships, fostering trust and effective communication
Apply customer service skills to address patient needs and streamline processes
Improve operational flow, leading to measurable increases in patient satisfaction
Monitored patient needs, communicated changes, improved treatment responsiveness
Provided emotional support, ensured patient comfort, fostered a caring environment
Collaborated with medical staff, enhanced patient care through effective teamwork
Managed patient accounts to ensure accurate billing and timely payments
Atlanta, Ga

Front Office Medical Assistant

Apex Family Healthcare Services

Stockbridge

12.2018 - 10.2021

Enhanced data input efficiency through improved insurance verification processes
Coordinated doctor correspondence for clear communication and prompt responses
Completed prior authorization requests for diagnostic imaging studies or specialty medications as requested by provider.
Effectively prioritized calls, addressing medical emergencies swiftly
Optimized front desk operations, improving appointment scheduling and patient reception
Enhanced billing processes, boosting efficiency and accuracy in patient records management
Coordinated with healthcare team, optimizing appointment scheduling and patient satisfaction
Managed medical correspondence, improving communication and operational flow
Assisted in procedures, ensuring patient comfort and successful outcome

Administrative Assistant

QTC Medical Group

Morrow

06.2017 - 12.2017

Company Overview: Morrow, Ga
Morrow, Ga
Drove customer feedback to deliver information to management for corrective action.
Managed incoming calls while providing information or transferring callers to appropriate personnel.
Reduced financial discrepancies by accurately analyzing and managing customer orders and invoices for various Fortune 500 companies.