Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
4
4
years of professional experience
Work History
Health Insurance Verification Specialist
IBM
Durham, NC
11.2021 - Current
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Observed strict procedures to protect sensitive patient information, and medical records.
Verified client information by analyzing existing evidence on file.
Reviewed numerous patient cases per week and verified insurance coverage information.
Email/Chat Support Specialist
Credit Karma
Concord, NC
08.2019 - 08.2020
Handled inbound customer chat conversations.
Asked open-ended questions to determine which products or services would be best fit for customer's needs.
Documented all customer information accurately in computer system, providing dated notes for future reference.
Worked closely with each customer to carefully resolve issues within timely fashion.
Remedied issues quickly and within parameters of company-mandated policies and procedures.
Provided online demonstrations to educate customers on product features and online help resources.
Assisted manager with coaching and mentoring of new employees.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Insurance Verification Specialist
Lash Group
Charlotte, NC
09.2016 - 02.2017
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Communicated verification and authorization status updates with the claims department to facilitate decision-making for patient admissions and insurance coverage.
Insurance Benefits/Claims/Billing Representative
Xerox
Charlotte, NC
01.2015 - 09.2016
Reviewed and solved account and billing discrepancies.
Received incoming information and entered into database system.
Responded to customer concerns and questions on daily basis.
Used data entry skills to accurately document and input statements.
Examined reports, accounts and evidence to determine integrity and accuracy of information.
Interviewed policyholders to verify information and obtain additional details.
Generated, posted and attached information to claim files.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Posted payments to accounts and maintained records.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
No Degree - Criminal Justice
Saint Augustine's University
Raleigh, NC
High School Diploma -
West Charlotte High School
Charlotte, NC
06.1994
Skills
Technical Library Maintenance
Documentation and Correspondence
Analytical Thinking
Insurance Plan Verification
Customer Service
Data Entry and Review
Timeline
Health Insurance Verification Specialist
IBM
11.2021 - Current
Email/Chat Support Specialist
Credit Karma
08.2019 - 08.2020
Insurance Verification Specialist
Lash Group
09.2016 - 02.2017
Insurance Benefits/Claims/Billing Representative
Xerox
01.2015 - 09.2016
No Degree - Criminal Justice
Saint Augustine's University
High School Diploma -
West Charlotte High School
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