Taylor Williams
Raleigh,NC
Summary
Experienced healthcare customer service and claims professional with a strong background in call center operations, insurance support, claims processing, Medicare and Medicaid member services, prior authorizations, and provider relations. Skilled in reviewing claim inquiries, explaining benefits and EOBs, working with UB-04 claim forms, verifying eligibility, and resolving complex healthcare issues while maintaining HIPAA compliance. Recognized for delivering exceptional customer service, attention to detail, and effective problem-solving in fast-paced healthcare environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Menu Specialist
Morrison Healthcare
06.2019 - Current
- Serve as a patient advocate, ensuring accurate meal delivery and dietary compliance.
- Collaborate with nursing staff and healthcare teams to address patient needs and concerns.
- Maintain healthcare documentation standards, confidentiality, and regulatory compliance.
- Provide exceptional customer service while supporting patient satisfaction initiatives.
Call Center Agent
Flourish Cleaning Services
01.2016 - 03.2025
- Manage inbound and outbound customer communications while maintaining detailed account records.
- Schedule appointments, resolve customer concerns, and provide professional service in a fast-paced environment.
- Consistently demonstrate strong communication, multitasking, and problem-solving skills.
Healthcare Customer Service & Claims Representative
Conduent
01.2018 - 01.2023
- Assisted members, providers, and patients with healthcare insurance inquiries in a high-volume call center environment.
- Researched and resolved claims issues, claim status requests, payment discrepancies, and benefit questions.
- Supported Medicare and Medicaid members by explaining eligibility, coverage, copays, deductibles, and claims determinations.
- Reviewed EOBs and claim documentation to ensure accurate processing and resolution.
- Worked with UB-04 claim forms and healthcare billing information.
- Assisted with prior authorization requests, documentation requirements, and coordination of care services.
- Maintained HIPAA compliance while meeting quality, productivity, and customer satisfaction goals.
Medical Receptionist (Part-Time)
Hope Urgent Care
01.2018 - 03.2020
- Scheduled patient appointments and verified demographic and insurance information.
- Assisted with insurance verification, patient intake, and front-office operations.
- Maintained patient confidentiality and compliance with HIPAA guidelines.
Education
General Science - undefined
Johnston County Community College
01.2021
High School Diploma - undefined
Corinth High School
01.2017
Skills
- Assisted in processing claims efficiently
- Facilitated resolution of claims disputes
- Supported Medicare and Medicaid operations
- Managed prior authorization requests
- Completed UB-04 forms accurately
- Conducted insurance verification procedures
- Reviewed eligibility and benefits information
- Performed EOB reviews diligently
- Delivered healthcare customer service support
- Cultivated provider relations effectively
- Adhered to HIPAA compliance standards
- Contributed to call center operations
- Executed data entry tasks with precision
- Applied problem-solving skills to resolve issues
Certification
- Phlebotomy Experience Certificate (219 Hours) – Wake Tech Workforce Development | December 2025
- CPR Certified – American Heart Association & American Red Cross
Timeline
Menu Specialist
Morrison Healthcare
06.2019 - Current
Healthcare Customer Service & Claims Representative
Conduent
01.2018 - 01.2023
Medical Receptionist (Part-Time)
Hope Urgent Care
01.2018 - 03.2020
Call Center Agent
Flourish Cleaning Services
01.2016 - 03.2025
General Science - undefined
Johnston County Community College
High School Diploma - undefined
Corinth High School