Theresa Platel
Greensboro,NC
Summary
Dedicated Service-focused professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Customer service professional bringing unparalleled skills in customer relations, task prioritization and time management. Motivated to directly and efficiently address customer concerns head-on, develop proactive solutions and implement corrections with efficiency.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Assembly Worker/Machine Operator
McMichael's Mills
Burlington, NC
11.2019 - Current
- Continually examine product quality to ensure adherence to quality standards
- Demonstrate great teamwork by assisting others as needed
- Always ensure and maintain the flow of production
- Identify operation malfunctions and notify supervisor when necessary
- Load and unload items from machines and conveyors
- Maintain communication with technicians, supervisors, and operators to ensure product quality and to rectify problems
- Operate machinery in a safe and efficient manner while remaining compliant with company procedures
Billing Specialist
UnitedHealth Group
Greensboro, NC
10.2019 - 02.2021
- Analyze and apply denials to third party carriers in all media types
- Comply with departmental Business Rules and Standard Operating Procedures
- Focus efforts on decreasing the Accounts Receivable, increasing cash, and/or reducing bad debt
- Interpret explanation of benefits for appropriate follow up action
- Utilize automation tools to verify eligibility, claim status and/or to obtain better billing information
- Review and research denied claims by navigating multiple computer systems and platforms, in order to accurately capture data/information for processing
- Communicate and collaborates with members or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding
- Conducts data entry and re-work for adjudication of claims
- Work on various other projects as needed
- Meet the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.
Medical Assistant & Billing Specialist
United Youth Care Services
Greensboro, NC
05.2016 - 10.2019
- Entered data electronically to process charges, payments, denials, and adjustments
- Performed insurance/billing clerical duties
- Discussed coverage and eligibility issues or concerns with patients
- Performed venipunctures, TM Flow, X-Rays, vital sign, Immunotherapy injections, and lab specimen collections
- Performed first aid, EKG's, Sterilization techniques, Allergy testing, colostomy and G-tube care.
Customer Service Supervisor
Walmart
Burlington, NC
09.2012 - 05.2016
- Conducted training and mentored team members to promote productivity, accuracy and commitment to friendly service.
- Coached employees through day-to-day work and complex
- Coached team members to deliver hospitable, professional service while adhering to set service models.
- Assessed and authenticated customer exchanges, voids and returns.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Assessed personnel performance and implemented incentives and team-building events to boost morale.
- Researched and corrected regular, advanced and long-standing customer concerns to promote company loyalty.
- Trained and coached cashier team members on checkout procedures and strategies to maximize customer satisfaction.
- Resolved customer issues for front-line and departments throughout store by employing strong operations knowledge and problem-solving abilities.
- Modeled outstanding customer service and held cashier team accountable for consistently delivering expert support.
- Verified accuracy of daily cashier batches by checking receipts, checks and cash.
- Met coverage demands by setting effective work schedules and breaks, and effectively delegating assignments.
- Replenished checkout lines with printer paper and change throughout shifts to prevent any customer service delays.
- Quickly and accurately counted drawers at start and end of each shift.
- Built positive relationships with customers to increase repeat business.
- Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
- Coached employees and trained on methods for handling various aspects of sales, complicated issues and difficult customers.
Education
Associate - Medical Billing and Coding Specialist
Ultimate Medical Academy
Associate's degree - undefined
Sanford-Brown Institute
Skills
- Proficiencies: MS Excel; MS Word; MS PowerPoint; Typing Speed: 37 WPM
- Skills: Problem solving skills; Time management skills; Dependable; Trustworthy; Willing to learn new things
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Greenway Prime Suite EHR
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Managed Care (HMO
- PPO
- And POS)
- Workers Compensation
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-9-CM
- ICD-10-CM
- HCPCS
- CPT)
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- 3rd Party Payers
- Experience Administering Injections
- Patient Care
- Transcription
- Triage
- Vital Signs
- Medical Scheduling
- Phone Etiquette
- Laboratory Experience
- Employee Orientation
- Clerical Experience
- CPT Coding
- ICD-10
- Medical Coding
- Customer service
- Quality Assurance
- Microsoft Powerpoint
- Dental receptionist
- Medical receptionist
- Filing
- Bilingual
- Driving
- Warehouse experience
- Home care
- Hospice care
- Front desk
- Medication administration
- Medical office experience
- EHR systems
- Building Customer Trust and Loyalty
- Courteous with Strong Service Mindset
- Issue and Complaint Resolution
- Calm and Professional Under Pressure
- Customer Service and Assistance
- Telephone Management
- Call Transfers
- Inquiry Requests
- Correcting Discrepancies
- Answering Customer Questions
- Inbound and Outbound Calling
- Customer Inquiry Response
- Solving Customer Concerns
- Billing Adjustments and Refunds
- Policy and Procedure Adherence
- Cultural Awareness
- Promotional Information
Certification
Medical Assistant
Present
Certified Coding Specialist
CPR Certification
Medical Coding Certification
Timeline
Assembly Worker/Machine Operator
McMichael's Mills
11.2019 - Current
Billing Specialist
UnitedHealth Group
10.2019 - 02.2021
Medical Assistant & Billing Specialist
United Youth Care Services
05.2016 - 10.2019
Customer Service Supervisor
Walmart
09.2012 - 05.2016
Associate - Medical Billing and Coding Specialist
Ultimate Medical Academy
Associate's degree - undefined
Sanford-Brown Institute
Similar Profiles
PUSHPENDER SINGHPUSHPENDER SINGH
General Manager (Spinning & Combing) at PROVIDENCE SPINNING MILLS (formerly BANSAL SPINNING MILLS LTD., LUDHIANA)General Manager (Spinning & Combing) at PROVIDENCE SPINNING MILLS (formerly BANSAL SPINNING MILLS LTD., LUDHIANA)
Carene EnnisCarene Ennis
Corporate Clerk/Assistant at Mills & Mills LLPCorporate Clerk/Assistant at Mills & Mills LLP
Aziz AhmadAziz Ahmad
Feed Mill Plant Manager at Salalah Mills Co. (SAOG) FeedFeed Mill Plant Manager at Salalah Mills Co. (SAOG) Feed
Dominique CaldwellDominique Caldwell
Sr. Social Worker at Forsyth County Department of Social ServicesSr. Social Worker at Forsyth County Department of Social Services
David SizemoreDavid Sizemore
Dasher at DoorDashDasher at DoorDash