S. Rachel Saunders
Customer Service
Lithonia,United States
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Health Plan Specialist
Kaiser Permanente
Atlanta , GA
05.2017 - 09.2023
- Compiled and submitted claims forms, medical reports, and other supporting documents to insurance companies.
- Advised patients regarding billing issues, payment options, and reimbursement procedures.
- Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
- Reviewed patient records for accuracy and completeness, ensuring that all required information was included.
- Verified insurance coverage for services rendered at facility.
- Communicated regularly with patients regarding their care plans following a referral.
- Maintained accurate records of all referrals, including contact information and follow-up activities.
- Assisted in the development of referral processes and procedures.
- Communicated with patients with compassion while keeping medical information private.
ROI Specialist
CIOX HEALTH, Health Information Managment
Alpharetta, GA
02.2014 - 05.2017
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Scanned and validated medical records for upload.
- Organized patient charts, gathering medical histories, lab results and consents.
- Managed release of information requests and identified requestors as patient, insurance providers, lawyers medical providers
- Processed and invoiced records requests from patients, providers and third parties.
- Handled incoming calls and directed callers to appropriate department or employee.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Released information to persons or agencies according to regulations.
Education
Associate of Science - Healthcare Management
DeVry University
Villa Park, IL05-2024
High School Diploma -
Stone Mountain High School
Stone Mountain, GA05.2010
Skills
- Critical Thinking
- Organizational Skills
- Epic and CMS Knowledge
- Medical Terminology
- Proficient in using computers and Microsoft products (Excel and Word)
- Provider Relations
- Insurance Claim Regulations
- Average typing speed of 45 WPM
- Excellent oral and written communication skills
- Call Center Experience
Work Preference
Work Type
Full TimeWork Location
HybridImportant To Me
Work-life balance4-day work weekPaid sick leaveHealthcare benefitsWork from home optionCompany Culture401k matchTeam Building / Company RetreatsCareer advancementTimeline
Health Plan Specialist
Kaiser Permanente
05.2017 - 09.2023
ROI Specialist
CIOX HEALTH, Health Information Managment
02.2014 - 05.2017
Associate of Science - Healthcare Management
DeVry University
High School Diploma -
Stone Mountain High School
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