Detail-oriented administrative professional with experience in medical and insurance environments, including claims processing, member services support, and document management. Skilled in customer service, data accuracy, and working efficiently in fast-paced settings while maintaining confidentiality and compliance.
Overview
8
8
years of professional experience
Work History
Member Service Specialist
Shared Practices
Remote, Remote
09.2022 - Current
Adhered to company policies and procedures while providing exceptional service to members.
Organized paperwork efficiently to streamline processes within the department.
Verified accuracy of data entry into computer system before finalizing any transaction.
Participated in meetings regarding changes or updates in policies or procedures.
Provided exceptional customer service to clients in fast-paced call center environment.
Read from scripts to promote uniformity and consistency in communications.
Developed and maintained positive relationships with customers by providing timely, accurate information and solutions to their inquiries or problems.
Remote, Remote
Insurance Specialist
Orthopedic Specialists
Des Peres, MO
02.2019 - 11.2022
Obtains insurance referral
Communicates with physicians and clinical staff to assist with scheduling urgent or referred patient scheduling calls/requests.
Reviews schedule for new patients, updating when necessary.
Calls patients with appointment time reminder, obtaining insurance
Checking patients in
Collecting copays
Chart prepping
Organized and filed patient medical records.
Scanned documents into the electronic health record system securely.
Entered data into electronic health record system accurately and timely.
Maintained accurate records of data entry into databases.
Check insurance eligibility
Receptionist
America's Best Contacts and Eyeglasses National Vision, Inc.
Saint Peters, MO
02.2018 - 11.2021
Ensure high quality customer service.
Answer, screen, and forward incoming phone calls in accordance with NVI protocol.
Process and understand managed care plans.
Obtain and document information from the insurance company as needed.
Schedule and confirm appointments, follow-up visits and classes.
File all patient records daily and pull patient files for the next day's appointments.
Check on status and notify customers when orders are in or of any delays.
Ensure all WIP Report functions are performed daily; cancelled job status, backorder list and problem jobs.
Experience handling multiple phone lines.
Excellent organizational skills.
Greeted visitors warmly and ensured they had a positive experience.
Answered questions about organization and provided callers with address, directions, and other information.
Education
Associate of Science degree - Health Sciences
Ultimate Medical Academy
01.2017
High school diploma - General Studies
Eskridge High School
MO
05.2009
Skills
Data entry & record management
Document processing & filing
Scheduling & calendar management
Email and phone correspondence
Attention to detail
Time management
Problem-solving
Reliability & accountability
Adaptability
Team collaboration
Ability to work independently
Fast learner
Timeline
Member Service Specialist
Shared Practices
09.2022 - Current
Insurance Specialist
Orthopedic Specialists
02.2019 - 11.2022
Receptionist
America's Best Contacts and Eyeglasses National Vision, Inc.
02.2018 - 11.2021
High school diploma - General Studies
Eskridge High School
Associate of Science degree - Health Sciences
Ultimate Medical Academy
Additional Information - Key Qualifications
Experience in administrative, medical, and insurance support roles
Strong background in customer service and member assistance
Knowledge of insurance claims processing and benefits coordination
High level of accuracy in data entry and document review
Ability to handle sensitive information in compliance with HIPAA
Proficient with Mac OS, Google Workspace, and Microsoft Office
Excellent written and verbal communication skills
Strong organizational, time-management, and problem-solving abilities
Capable of working independently in fast-paced environments