Valerie Gibson
Hammond,LA
Summary
High-energy Administrator with proven leadership, critical thinking and project management abilities gained during 8-year administrative career. Smoothly organize resources to keep teams efficient and achieve daily targets. Proven leadership, critical thinking and project management abilities gained during administrative career. Experienced in managing clerical requirements of business office and highly responsive to dynamic business conditions. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
Work History
Benefits Specialist
Healthcomp | Gilsbar, LLC
09.2014 - 06.2023
- Enrolled eligible employees into their employer's insurance plans
- Explain all benefit options and coverages
- Assist with filing claims for flexible spending accounts, health savings accounts, tsa, and dependent care accounts
- Care advocate/advisor for groups/companies
- Scheduling appointments and procedures as well as successfully negotiated medical bills with insurance companies and hospitals
- Claims assist for medical providers/members and verification/eligibility of insurance for medical and DME providers
- Verification of authorization, Benefits verification, and data entry.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
- Observed strict procedures to maintain data and plan participant confidentiality.
- Coordinated with contracting department to resolve payer issues.
- Checked documentation for accuracy and validity on updated systems.
- Identified and resolved discrepancies between patient information and claims data.
Dental Eligibility Specialist
AM PM Staffing Services
02.2008 - 01.2011
- Entered data into various computer systems accurately using Microsoft Office Suite.
- Maintain enrollment spreadsheets for tracking and statistical purposes.
- Process eligibility files into company membership database using current industry standards relative to HIPAA and 834-type file transmissions.
- Identified data entry errors and reported to necessary departments.
- Receive electronic files of member eligibility, review for discrepancies, and update systems files as applicable.
- Reviewed and updated client correspondence files and database information to maintain accurate records.
- Perform audits of group administration services relating to enrollment and eligibility records for commercial and government groups, process ID card requests, and perform other enrollment-related functions.
- Completed data entry tasks with accuracy and efficiency.
Medical Assistant
Ent Clinics
12.2005 - 07.2007
- Sanitized, restocked and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Called and faxed pharmacies to submit prescriptions and refills.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Education
Technical Diploma - Medical Billing & Coding
LSU Eunice
Eunice, LA06.2024
Technical Diploma - Practical Nursing
Compass Career College
Hammond, LA06.2013
Technical Diploma - Certified Medical Assistant
Delta College
Covington, LA04.2005
No Degree - Nursing
Southeastern La University
Hammond, LA12.2008
High School Diploma -
Hammond High Magnet School
Hammond, LA05.2001
Skills
- Genelco, CRM, Evolution 1, Electronic Medical Records (EMR) & EHR
- Data Processing
- Efficient Data Entry
- Clerical Support
- Document Scanning
- Time Management
- Tech Savvy
- Microsoft Office
- Customer Service (10 years)
- Active Listening
- Customer Relations
- Account Management
- Critical Thinking
- Administrative Support
- CRM Software
- Typing Proficiency
- Contract compliance
- Insurance Plan Verification
- Claims Processing
- Vendor Maintenance
- ICD-10, CPT and HCPCS
Additional Information
- Authorized to work in the US for any employer
Timeline
Benefits Specialist
Healthcomp | Gilsbar, LLC
09.2014 - 06.2023
Dental Eligibility Specialist
AM PM Staffing Services
02.2008 - 01.2011
Medical Assistant
Ent Clinics
12.2005 - 07.2007
Technical Diploma - Medical Billing & Coding
LSU Eunice
Technical Diploma - Practical Nursing
Compass Career College
Technical Diploma - Certified Medical Assistant
Delta College
No Degree - Nursing
Southeastern La University
High School Diploma -
Hammond High Magnet School
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