Terice Miles
Benefits Specialist
Houston,TX
Summary
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Customer Service Rep position in Busy environment. Ready to help team achieve company goals.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Eligibility Specialist
Catholic Charities
Houston, TX
07.2021 - 12.2021
- Educated patients on eligibility and affordability options by offering insightful information.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Assessed information gleaned from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
- Managed processing of financial assistance and food stamp benefits applications.
- Communicated with people from various cultures and backgrounds on application process.
- Used Salesforce and Microsoft to maintain over800 candidate files and file notes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Documented all communication with applicants and inputted information into system using Salesforce.
Customer Service Representative
Maximus Call Center
Reston, VA
04.2021 - 07.2021
- Provided primary customer support to internal and external customers.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Provided information regarding charge accounts and loyalty programs.
- Answered constant flow of customer calls with minimal wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Responded to customer requests for products, services and company information.
Retail Sales Representative
Premium Retail Services Inc
Plano, TX
01.2021 - 07.2021
- Increased sales by offering advice on purchases and promoting additional products.
- Helped customers complete purchases, locate items and join reward programs.
- Assisted customers by answering questions and fulfilling requests.
- Welcomed customers and provided assistance in locating and purchasing products.
- Organized store merchandise racks and displays to promote and maintain visually appealing environments.
- Approached each problem with fresh mind and analytical strategies to quickly resolve concerns.
- Assisted customers with locating and choosing merchandise in store departments.
Temperature Screener
Medical Worx
Dallas, TX
01.2021 - 06.2021
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Completed intake assessment forms and filed clients' charts.
- Collected, verified, recorded and processed client demographics, insurance payments and referral information.
- Explained eligibility requirements, application details, payment methods and applicants' legal rights during intake assessment.
- Inspected equipment for defects and completed basic repairs.
- Disinfected tools, equipment and surfaces between patients.
Data Entry Clerk
Delta Pathology Group
Shreveport, LA
08.2019 - 08.2020
- Scanned documents and saved in database to keep records of essential organizational information.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Entered data into [Type] system according to formatting standards.
- Maintained ongoing communication with relevant departments to confirm accurate data delivery.
- Corrected data entry errors to prevent later issues such as duplication or data degradation.
- Scrubbed data for errors and made corrections to maintain clean records.
- Located and corrected data entry errors and reported to management.
- Completed data entry tasks with accuracy and efficiency.
Medical Record Coder
Willis Knighton Medical Center
Bossier City, LA
07.2000 - 02.2019
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Tutored [Number] new coders for compliance with [Type] and [Type] classification systems and coding guidelines.
- Implemented new coding procedures that reduced mistakes by [Number]% and simplified processes.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Applied charges and updated patient records by using [3M and [Meditech.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Education
Associate of Applied Science - Phlebotomy
Southern University At Shreveport
Shreveport, LASkills
- Proficiency in [Google research
- Effective communication skills
- Documentation and paperwork
- Program knowledge
- Self-Motivated
- Attention to Detail
- Analytical and Critical Thinking
- Excellent Communication
- Dependable and Responsible
Certification
- Certified Medical Coder , Ahima - [December 2022
Timeline
Eligibility Specialist
Catholic Charities
07.2021 - 12.2021
Customer Service Representative
Maximus Call Center
04.2021 - 07.2021
Retail Sales Representative
Premium Retail Services Inc
01.2021 - 07.2021
Temperature Screener
Medical Worx
01.2021 - 06.2021
Data Entry Clerk
Delta Pathology Group
08.2019 - 08.2020
Medical Record Coder
Willis Knighton Medical Center
07.2000 - 02.2019
Associate of Applied Science - Phlebotomy
Southern University At Shreveport