VERNITA LEE BULLOCK
Jackson,Ms
Summary
Dedicated Customer Service Specialist providing skills to prioritize and multitask in fast-paced working environment. A customer-focused and detail-oriented individual seeking a position as a Customer Service Representative, leveraging strong communication and problem-solving skills to provide exceptional support through live chat and via email.
Overview
9
9
years of professional experience
Work History
Remote-Claim Specialist/Adjuster
Ambetter
Ms
03.2019 - 02.2024
- Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
- Adhered to HIPAA regulations while managing confidential patient information.
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
Remote-Medical Claim Specialist
Zerox
Madison, Ms
01.2015 - 06.2019
- Reviewed and processed medical claims for accuracy and completeness, ensuring adherence of billing regulations and insurance policies.
- Submitted claims to insurance companies electronically or by mail, following proper coding and documentation guidelines.
- Processed appeals on rejected partially paid claims, including filing additional paperwork as needed.
- Submitted and tracked medical claims to insurance companies via electronic or paper methods.
- Communicated with patients regarding insurance coverage, billing inquiries, and payment options, providing assistance and support as needed.
Education
Certificate - Medical Billing And Coding
Second Chance Learning Center
Ridgeland, MsAssociate Of Business Administration - Medical Insurance Billing
Holmes Community College
Ridgeland, MS05.1998
Madison Central High School
Madison, Ms05.1995
Skills
- HIPAA Knowledge
- Insurance Verification
- Claims Processing
- Active listening skills
- Remote and Call Center Expertise
- Ability to analyze and resolve billing discrepancies and denials
- Experience with claim submission processing , and follow-ups
- Credit Card payment processing
Timeline
Remote-Claim Specialist/Adjuster
Ambetter
03.2019 - 02.2024
Remote-Medical Claim Specialist
Zerox
01.2015 - 06.2019
Certificate - Medical Billing And Coding
Second Chance Learning Center
Associate Of Business Administration - Medical Insurance Billing
Holmes Community College
Madison Central High School