Summary
Overview
Work History
Education
Skills
INTERNSHIPS
Certification
Timeline
Generic

Relina Pitts

Gainesville

Summary

Customer Service Representative with 5 years of experience in healthcare and administrative support, adept at managing high-volume call center operations and resolving inquiries efficiently. Demonstrates strong communication and problem-solving skills, ensuring compliance with HIPAA regulations while facilitating patient access and benefits understanding. Skilled in de-escalation and teamwork, consistently improving service quality through detailed feedback analysis and innovative solutions.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Remote Case Manager

Remx
06.2024 - 04.2025

• Managed patient cases from submission to resolution, ensuring timely access to healthcare services.

• Conducted benefit investigations, authorizations, and appeals for patient coverage.

• Reviewed patient documents for completeness and accuracy to support care plans.

Benefits Customer Care Representative

Centene
02.2023 - 06.2024

• Assisted members with benefits questions, claims accuracy, and policy updates.

• Guided patients through healthcare options, improving understanding of services.

• Ensured compliance with HIPAA regulations while handling sensitive information.

Remote Customer Service Representative

Department of Children and Family Services
05.2020 - 04.2022

• Handled high-volume inquiries, documenting cases and ensuring accurate data entry.

• Resolved patient/client issues with empathy and professionalism.

• Strengthened service quality by implementing systematic tracking and feedback analysis.

Education

Certified Medical Assisting Progran -

Pensacola School of Massage and Health
Pensacola
01.2022

High School Diploma -

Penn Foster High School
04.2019

Skills

  • HIPAA Compliance & Patient Privacy
  • Insurance Verification & Benefits Processing
  • Medical Terminology & Clinical Procedures
  • Strong Communication & Active Listening
  • Time Management & Multitasking
  • Electronic Records & Documentation

INTERNSHIPS

  • Certified Clinical Medical Assistant
  • Baptist Westside, Pensacola — Dec 2021 - Jan 2022
  • Managed daily clerical tasks, ensuring smooth office operations
  • Verified patient insurance eligibility and processed co-pays accurate
  • Welcomed and assisted patients with check-in procedures
  • Coordinated and processed medical referrals in a timely manner
  • Answered and directed incoming calls, effectively managing appointment scheduling and rescheduling needs
  • Microsoft/ Excel Office Specialist
  • Miami Job Corps, Miami — Aug 2019 - Sep 2019
  • Performed a variety of clerical tasks to support office efficiency
  • Organized and filed paperwork, created and maintained Excel documents, and managed scheduling
  • Printed and distributed necessary copies for staff and patients
  • Answered incoming calls, directing inquiries to the appropriate department or personnel

Certification

Certified Medical Assistant Program

Microsoft Office Specialist Certification

Timeline

Remote Case Manager

Remx
06.2024 - 04.2025

Benefits Customer Care Representative

Centene
02.2023 - 06.2024

Remote Customer Service Representative

Department of Children and Family Services
05.2020 - 04.2022

Certified Medical Assisting Progran -

Pensacola School of Massage and Health

High School Diploma -

Penn Foster High School