TAIJAH BAILEY
Upper Darby,PA
Summary
Customer Service Representative with 7+ years of healthcare, insurance, and administrative support experience in both remote and onsite environments. Skilled in handling high-volume inbound and outbound calls, resolving member and provider inquiries, assisting with billing and claims issues, and providing technical support for EMR systems and basic computer/printer connectivity. Adept at multitasking, navigating multiple databases, and delivering empathetic, solution-focused service while ensuring HIPAA compliance.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Billing & Coding Specialist
Oaks Integrated Care
10.2024 - 07.2025
- - Provided front-line customer service to providers and staff, handling billing inquiries and eligibility questions.
- - Entered authorizations, corrected claims, and reconciled A/R balances using EMR systems.
- - Assisted staff with EMR navigation and resolved basic computer/printer issues to maintain workflow.
Medical Biller
Maryville
05.2024 - 10.2024
- - Processed insurance claims, managed denials, and verified patient eligibility.
- - Delivered customer support to providers and members regarding claim status and benefits.
- - Maintained billing records in Excel and provided troubleshooting assistance for routine system issues.
Customer Service Representative (Remote)
AmeriHealth Caritas
05.2023 - 04.2024
- - Handled high-volume inbound calls from members and providers regarding benefits, authorizations, and claims.
- - Filed grievances, processed enrollment requests, and updated member demographics.
- - Guided callers through resolving basic technical issues with online portals and document submissions.
Medical Billing Specialist
PATHS
04.2022 - 05.2023
- - Verified insurance, submitted claims, and performed follow-ups to resolve unpaid claims.
- - Responded to member and provider questions with empathy and professionalism.
- - Supported internal staff with EMR access issues and basic troubleshooting needs.
Verifier / Insurance Claims Specialist (Remote)
ASRM (Reliance Standard Life)
01.2019 - 05.2022
- - Answered calls and provided claim status updates, policy information, and enrollment assistance.
- - Verified insurance eligibility and processed auto, dental, and medical claims with accuracy.
- - Ensured customer satisfaction by resolving inquiries efficiently while maintaining HIPAA standards.
Seamless Access Representative (Part Time)
Jefferson Hospital
02.2019 - 04.2022
- - Scheduled patient appointments across the health system and verified insurance coverage.
- - Provided exceptional front-line customer service in a high-volume hospital environment.
- - Assisted patients and staff with EMR system navigation.
Medical Records / Chart Capture
Team Health
03.2017 - 02.2019
- - Assisted physicians and staff with chart reconciliation and missing documentation.
- - Provided support for claim issues, eligibility verification, and customer inquiries.
- - Maintained HIPAA compliance and accuracy while handling sensitive medical records.
Education
Certificate - Medical Billing and Coding
Branford Hall Career Institute
01.2015
Skills
- Customer Service
- Call Center Support
- Technical Troubleshooting (basic computer, printer, connectivity issues)
- Insurance Eligibility
- Claims Appeals & Denials
- EMR Navigation (Epic, Plexis, MediTex, NJMMIS, Cerner, 3M Encoder)
- Microsoft Office Suite
- Data Entry & Documentation
- HIPAA Compliance
- Multitasking in Fast-Paced Environments
Certification
Medical Billing and Coding
Languages
English
Full Professional
Timeline
Medical Billing & Coding Specialist
Oaks Integrated Care
10.2024 - 07.2025
Medical Biller
Maryville
05.2024 - 10.2024
Customer Service Representative (Remote)
AmeriHealth Caritas
05.2023 - 04.2024
Medical Billing Specialist
PATHS
04.2022 - 05.2023
Seamless Access Representative (Part Time)
Jefferson Hospital
02.2019 - 04.2022
Verifier / Insurance Claims Specialist (Remote)
ASRM (Reliance Standard Life)
01.2019 - 05.2022
Medical Records / Chart Capture
Team Health
03.2017 - 02.2019
Certificate - Medical Billing and Coding
Branford Hall Career Institute
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