Whitley May
Florence,SC
Summary
My objective is to obtain an entry-level position within your organization where hard work, dedication, and commitment are attributes for advancement.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Processor
BlueCross BlueShield of SC
Florence, South Carolina
11.2025 - Current
- Reviewed documentation to ensure completeness and proper coding of claims.
- Processed claims efficiently using internal system for accuracy and compliance.
- Processed a high volume of incoming claims in accordance with established policies and procedures.
- Maintained detailed records of all claims processed for auditing purposes.
- Coordinated benefits with medical insurance plans and Medicare providers.
- Researched discrepancies between submitted documentation and actual records to identify errors or omissions.
- Coordinated with healthcare providers to obtain missing information or clarification on claims.
- Performed quality assurance reviews on completed work to ensure compliance with standards.
CNA
Honorage Nursing Center
Florence, South Carolina
08.2025 - 01.2026
- Administered medications as directed by nursing staff under supervision.
- Provided assistance with activities of daily living, including bathing, dressing and grooming.
- Performed vital sign assessments, such as taking blood pressure and temperature.
- Maintained a clean, safe environment for the patient by adhering to infection control policies and procedures.
- Answered patient call lights promptly and responded to requests appropriately.
- Transported residents within the facility as needed.
- Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
- Demonstrated excellent customer service skills when interacting with patients, families and guests.
Customer Service Advocate
BlueCross BlueShield of SC
Florence, SC
03.2021 - 11.2025
- Answer incoming calls and provide highest level of professionalism and knowledgeable service to every customer.
- Update customer accounts, addresses and contact information within call management databases.
- Identified needs of customers promptly and efficiently.
- Engage actively with callers, confirming or clarifying information and diffusing anger.
- Navigate through computer systems to review information and respond appropriately to callers.
- Offer resolutions to de-escalate calls and solve customer issues.
- Met or exceeded call speed, accuracy and volume benchmarks on a consistent basis.
- Consult with customers to resolve service and billing issues.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Phlebotomy Intern
Prisma Health
Columbia, SC
03.2023 - 05.2023
- Maintained updated knowledge through continuing education and advanced training.
- Located veins suitable for puncture to draw blood using sterilized needles, vials and other equipment.
- Centrifuged blood specimens in test tubes and capillary tubes to separate cells and sediment from blood serum.
- Interacted with patients to gather and record data prior to blood draws.
- Checked hemoglobin levels of individuals prior to blood donation.
- Transported specimens following established protocol for temperature and light.
- Observed patient for unusual reactions or events to take appropriate action under established guidelines.
- Verified collection orders and communicated discrepancies to nurses.
Housekeeping Aide
Elmcroft Assisted Living
Florence, SC
01.2017 - 03.2021
- Monitored common areas for cleanliness and safety.
- Completed regular and thorough cleaning of equipment, floors and furniture.
- Vacuumed floors and dusted furniture to maintain organized, professional appearance.
- Used cleaning chemicals following proper guidelines.
- Cleaned building floors by sweeping, mopping and scrubbing.
- Interacted pleasantly with clients and guests when performing daily duties.
- Dusted ceiling air conditioning diffusers and ventilation systems to improve airflow.
- Removed finger marks and smudges from doors, frames and glass partitions to enhance shine.
- Moved beds, sofas and small furniture to wipe down baseboards and remove dust and dirt from hard-to-reach areas.
Dietary Aide
The Carolinian
Florence, SC
02.2015 - 01.2017
- Sanitized kitchen, dining, and utility areas to maintain a healthy environment for residents.
- Helped with meal prep for daily meals, following strict sanitation and food handling guidelines
- Delivered food and snacks according to planned menu and patients' dietary requirements.
- Served specific meals to patients with special dietary needs.
- Stocked food and other supplies for main kitchen and units.
- Worked closely with team members to update cleaning protocols and increase aide efficiency.
- Supported patients with special needs during meals, ensuring comfort and dignity.
Education
Certificate - Certified Nursing Assistant
Florence-Darlington Technical College
Florence, SC04-2024
Phlebotomy -
Professional Medical Training Center
Florence, SC03-2023
Medical Assistant -
Horry-Georgetown Technical College
Conway, SC08-2021
High School Diploma -
South Florence High School
Florence, SC06-2009
Skills
- Claims Auditing
- Insurance Claims
- Eligibility Verification
- Data Entry
- Data Verification
- Call Documentation
- Billing Review
- Customer Service
- Patient Relations
- HIPAA Compliance
- Regulatory Compliance
- Revenue Cycle Management
- Transaction Processing
- Office Equipment
- Document Management
- Records Maintenance
- Time Management
- Productivity Management
- Team Collaboration
- Soft Skills
- Chemical Cleaning
- Biohazard Waste Disposal
- OSHA Compliance
- Medical Terminology
- Insurance Regulations
- Insurance Terminology
- Clerical Support
- Data Confidentiality
- Data Entry
- Soft Skills
- Insurance regulations
- Call Documentation
- Insurance terminology
Certification
- Licensed Phlebotomist (PT) - 2023
- Certified Medical Assistant (CMA)
- Certified Nursing Assistant (CNA)
References
References available upon request.
Timeline
Claims Processor
BlueCross BlueShield of SC
11.2025 - Current
CNA
Honorage Nursing Center
08.2025 - 01.2026
Phlebotomy Intern
Prisma Health
03.2023 - 05.2023
Customer Service Advocate
BlueCross BlueShield of SC
03.2021 - 11.2025
Housekeeping Aide
Elmcroft Assisted Living
01.2017 - 03.2021
Dietary Aide
The Carolinian
02.2015 - 01.2017
Certificate - Certified Nursing Assistant
Florence-Darlington Technical College
Phlebotomy -
Professional Medical Training Center
Medical Assistant -
Horry-Georgetown Technical College
High School Diploma -
South Florence High School