TAYLOR Ryals
Louisville,KY
Summary
Achieved high levels of customer satisfaction through effective problem-solving in a call center. Enhanced workflow coordination among staff to optimize service delivery. Maintained strict adherence to policies and guidelines, safeguarding patient privacy and confidentiality.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Centene Citrix Insurance Customer Service Agent
Teleperformance USA
Louisville, KY
12.2023 - Current
- Facilitated patient support through effective phone communication, addressing inquiries and needs. Streamlined insurance claims and payment processes to enhance service delivery.
- Oversaw appointment scheduling and medical care coordination to ensure timely access to healthcare services.
- Implemented effective time management strategies to consistently meet established deadlines.
Customer Support Specialist / Call Center Agent
Verizon
Louisville, KY
06.2023 - 12.2023
- Handled initial contact by fielding inbound calls and providing solutions to customer questions.
- Executed precise data entry for customer accounts and facilitated clear, concise interactions with clients.
- Evaluated customer issues, implemented appropriate resolutions, and maintained compliance with established protocols.
- Ensured meticulous recording of customer account interactions while safeguarding confidentiality protocols.
- Managed remote work environments to ensure consistent workflow and team engagement.
Education
Associate of Science Degree - Health Sciences, Medical Administrative Assistant
Ultimate Medical Academy
01.2025
Skills
- Facilitated efficient medical office operations through comprehensive administrative support
- Mastered medical terminology to enhance communication within healthcare teams
- Transcribed medical reports accurately and efficiently Assisted healthcare professionals by providing timely documentation Supported patient care through precise record-keeping
- Facilitated patient registration processes, ensuring efficient data entry and record management
- Oversaw comprehensive management of medical records to ensure accuracy and compliance
- Conducted regular check-ins to assess team progress and address any challenges
- Evaluated and analyzed various options to provide informed recommendations
- Executed accurate data entry processes to ensure information integrity
- Facilitated release of information to ensure compliance with regulatory standards
- Ensured adherence to HIPAA regulations and compliance standards
- Assisted in understanding medical laws and ethics Supported compliance with healthcare regulations Aided in the development of ethical guidelines for medical practices
- Assisted in completing CMS 1500 claim forms accurately Supported healthcare providers in submitting claims for reimbursement Collaborated with team members to resolve claim discrepancies
- Managed billing cycle processes to ensure timely invoicing and payment collection
- Oversaw claims appeal process to ensure timely resolution and compliance with regulations
- Leveraged extensive medical billing expertise to ensure accurate claims processing
- Managed third-party billing processes to ensure timely and accurate invoicing
- Assisted individuals in navigating Medicare options Provided support in understanding benefits and coverage Helped clients complete necessary enrollment forms
- Administered Medicaid programs to ensure compliance with regulations and enhance service delivery
- Assisted teams in completing projects on schedule and within budget parameters Supported project coordination efforts to enhance team collaboration Contributed to problem-solving initiatives to improve project outcomes
- Assisted teams in completing projects on schedule and within budget constraints Supported project management efforts by coordinating tasks and resources effectively Contributed to team success through proactive communication and collaboration
- Executed insurance verification processes to ensure accurate patient billing
- Executed coding tasks for ICD-10 and CPT to ensure accurate medical billing
- Assisted in understanding human body systems and functions Supported peers in studying anatomical structures and physiological processes Contributed to group discussions on health and wellness topics
Certification
- Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
- Effective problem solver, able to assess situations and identify solutions.
- Pay close attention to detail for accurate and compliant documentation.
- Able to work in team-based environments with emphasis on quality, performance, and customer service.
- Strong organizational and time management skills with ability to establish priorities to meet timelines.
- Communication Platforms – Zoom and Google Meet.
- Microsoft Office Applications – Word.
Timeline
Centene Citrix Insurance Customer Service Agent
Teleperformance USA
12.2023 - Current
Customer Support Specialist / Call Center Agent
Verizon
06.2023 - 12.2023
Associate of Science Degree - Health Sciences, Medical Administrative Assistant
Ultimate Medical Academy