Terria McDonald
Richmond
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
11
11
years of professional experience
Work History
Senior Customer Service Representative
Wipro/Remote - Current
Richmond, Tx
10.2023 - Current
- Analyzed claims data.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion.
- Documented information and uploaded data for efficient processing using Claims management software, electronic health records and payer systems.
- Claims data in NextGen systems and Spyglass.
- Electronic Health records.
- Paid or denied medical claims based upon established claims processing criteria.
- Verified patient insurance coverage and benefits for medical claims.
Healthcare Customer Service Representative
Texas Oncology
Houston, Tx
01.2021 - 10.2023
- Assisted patients with scheduling appointments and managing healthcare needs.
- Verified patient demographic information.
- Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
- Handled patient inquiries through phone, and email.
- Updated databases with new and modified customer data.
Customer Service Representative
Acclara Solutions
Houston, Texas
08.2017 - 12.2020
- Collected payments and arranged for billing.
- Managed high call volumes, maintaining quality service.
- Placed outbound customer service.
- Preformed other duties assigned.
- Closed claim files when appropriate.
Customer Support Specialist
Johnson & Johnson - Remote
Houston
05.2015 - 08.2017
- Assisted customers with inquiries via phone and email.
- Processed payments.
- Informed policyholders of outstanding balances.
- Maintained confidentiality of policyholder information with HIPAA regulations.
- Communicated with policyholders to explain claim decisions and answer inquiries.
Education
Business Management -
Houston Community College
Houston, TX05.2026
Medical Assistant Training
Fortis College
Houston, TX01.2021
Skills
- Conflict resolution
- Electronic health records
- CRM software
- Claim processing
- 10 Key Touch
- Multitasking
- Medical terminology
- 60 wpm typing speed
- Remote office availability
- Microsoft office
- HIPAA compliance
Timeline
Senior Customer Service Representative
Wipro/Remote - Current
10.2023 - Current
Healthcare Customer Service Representative
Texas Oncology
01.2021 - 10.2023
Customer Service Representative
Acclara Solutions
08.2017 - 12.2020
Customer Support Specialist
Johnson & Johnson - Remote
05.2015 - 08.2017
Medical Assistant Training
Fortis College
Business Management -
Houston Community College