Teela Harris
Detroit,MI
Summary
Highly skilled healthcare professional with expertise in medical billing and coding. Accurately processes patient data and insurance claims while ensuring compliance with regulations. Excels in team collaboration and consistently achieves results, adapting seamlessly to changing needs. Proficient in medical terminology, coding systems, and electronic health records. Brings a reliable and efficient work ethic to every task. Extensive experience in healthcare administration with proven expertise in accurately processing claims, ensuring compliance with regulations, and maintaining detailed patient records. Highly collaborative team member focused on achieving results and adapting to changing needs.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Maximus Health Services
07.2024 - Current
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Collected information about rejected claims and developed effective solutions.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Home Health Patient Care Provider
Michigan Health and Human Services
10.2023 - Current
- Organized supplies needed for each visit prior to arriving at the patient's home.
- Communicated effectively with physicians regarding changes in treatment plans or patient needs.
- Inspected home environment for potential hazards that could affect health or safety of the patient.
- Provided direct patient care, including bathing, dressing and grooming.
- Assisted patients with mobility issues, such as transferring from bed to wheelchair or walker.
- Monitored vital signs and reported any changes to supervising nurse.
- Administered prescribed medications and treatments in accordance with approved nursing protocols.
- Developed individualized patient care plans according to physician orders and nursing assessments.
- Performed wound care, including changing dressings and monitoring healing progress.
- Assessed patients for risk of falls or other safety concerns in the home environment.
- Maintained accurate records of patient visits, treatments and medication administration.
- Provided emotional support and companionship to patients and family members during challenging times.
- Completed documentation accurately in a timely manner according to agency policies and procedures.
- Maintained clean and well-organized environment for client happiness and safety.
- Dressed, groomed and fed patients with limited physical abilities to support basic needs.
Patient Care Specialist
CVS Pharmacy
12.2019 - 05.2023
- Maintained accurate patient records in the Electronic Health Records system.
- Responded promptly to patient inquiries and concerns.
- Coordinated communication between multiple providers involved in a single case.
- Managed incoming calls from pharmacies requesting authorization for prescription refills.
- Provided timely and accurate responses to customer inquiries regarding products, services, and policies.
- Assisted customers in resolving issues with their accounts or orders.
- Received incoming calls from customers and responded to inquiries about product features and benefits.
- Maintained a professional attitude while providing excellent customer service.
- Performed data entry tasks to keep records up-to-date and accurately entered into the system.
- Resolved customer complaints in a timely manner by addressing root causes of the issue.
- Developed relationships with customers through friendly interactions over the phone.
- Utilized computer systems such as Microsoft Office Suite for data entry purposes.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Collected deposits or payments and arranged for billing.
Customer Service Representative
Direct Dialogue
02.2016 - 10.2019
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Gathered customer feedback through surveys and used the data to improve customer service.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Answered inbound calls, chats and emails to facilitate customer service.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- Developed strong customer relationships to encourage repeat business.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Consulted with customers to resolve service and billing issues.
- Set up and activated customer accounts.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
- Educated customers on special pricing opportunities and company offerings.
Chef
Michael Symons Roast
06.2014 - 01.2016
- Monitored food preparation methods, portion sizes and garnishing of dishes to ensure that food was prepared in accordance with the restaurant's recipes and presentation standards.
- Ensured compliance with all health, safety and hygiene regulations within the kitchen area.
- Maintained a clean work environment by adhering to sanitation policies and procedures.
- Prepared high-quality dishes according to established recipes.
- Checked quality of raw materials before use.
- Stored foods correctly using correct storage containers and labelling systems.
- Adjusted seasonings of dishes according to customers' tastes.
- Monitored quality, presentation and quantities of plated food across line.
- Exercised portion control for items served, eliminating waste.
- Prepared meals according to recipes and menus, adjusted ingredients and cooking times accordingly.
- Adhered to food safety standards when storing and preparing foods.
- Cleaned kitchen equipment, surfaces, utensils and dishes.
- Monitored stock levels of food items and ordered more when necessary.
- Ensured that all food was cooked at the correct temperature and stored correctly.
Education
Bachelor Degree - Medical Billing And Coding
Bryant And Stratton College
12-2024
Associate of Arts - Culinary Arts
Dorsey School of Business
05-2014
Certificate - Cosmetology Education
P & A Scholars
07-2011
High School Diploma -
Frank Cody High School
06-2009
Skills
- Appeals processing
- Medical billing procedures
- Insurance claims analysis
- Medical claims coding
- Insurance coding (ICD-9 and CPT)
- Regulatory guidelines
- Claims Processing
- HIPAA compliance awareness
- Medical claims submission
- Data security procedures
- Claim validity determination
- Multitasking Abilities
Certification
Certification: Certified Coding Associate (CCA), 2022 upon passing exam
Timeline
Customer Service Representative
Maximus Health Services
07.2024 - Current
Home Health Patient Care Provider
Michigan Health and Human Services
10.2023 - Current
Patient Care Specialist
CVS Pharmacy
12.2019 - 05.2023
Customer Service Representative
Direct Dialogue
02.2016 - 10.2019
Chef
Michael Symons Roast
06.2014 - 01.2016
Associate of Arts - Culinary Arts
Dorsey School of Business
Certificate - Cosmetology Education
P & A Scholars
High School Diploma -
Frank Cody High School
Certification: Certified Coding Associate (CCA), 2022 upon passing exam
Bachelor Degree - Medical Billing And Coding
Bryant And Stratton College
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