Customer Service Professional Experience

KINETA CARSON, CMA

**** ******** ***** **. ******* NC 28025 704-***-****

************@*******.***

Highly personable with more than 15 years of professional experience. Adept at all aspects of customer service. Accomplished in the medical and insurance field. Highly organized with extreme attention to detail while having the ability to multi-task. Hard working, and dependable.

Outstanding Customer Service

Medical Terminology

Accounting

Team Leadership and Development

Motivational And Collaborative

MS Office Products

Time Management

Organized and Dependable

PROFESSIONAL EXPERIENCE

Benefit Verification Specialist

August 2016-Present

Optum/United Healthcare

Concord, NC

Collected and reviewed all patient insurance information by following SOP s

Provided assistance to members and health care professionals

Transferred appropriate calls to sales, nursing line and other healthcare personnel

Retrieved or initiated patient medical history and examination file while maintaining Confidentiality and HIPPA compliance

Compiled with all policies and procedures on an ongoing basis and maintained work area Healthcare Technician/ Unit Secretary

December 2014 April 2016

Carolinas Healthcare System

Concord, NC

Greeted patients, families and visitors in person and by phone while providing needed Information, directions and documents

Transferred appropriate calls to physicians, nursing staff and other healthcare personnel

Retrieved or initiated patient medical history and examination file while maintaining Confidentiality and HIPPA compliance

Transcribed and documented patient care notes in individual files and ensured they were Secured

Compiled with all policies and procedures on an ongoing basis and maintained work area Certified Nursing Assistant

March 2012 December 2014

Universal Healthcare and Rehabilitation

Concord, NC

Provided patient comfort byutilizing resourcesandmaterials; transportingpatients; answering Patient needs

Updated job knowledgeby participatingin educational opportunitiesand readingprofessional Publications.

Assessed patientsneed periodically to ensuretheywere receivingtheappropriate care. Customer Service Representative

October 2010 February 2012

CVS Caremark

Concord, NC

Answered busy phone calls while handling customer needs

Researched and resolved problems in a timely manner

Verified patient benefits: medical and prescription coverage

Processed prescription refills and resolved billing and payment inquiries

Assisted with reimbursement claims, prior authorizations

Processed overrides and claim reversals for pharmacist

Verified qualifications for patient needing prescription assistance Seasonal Benefit Verification Specialist

November 2008 February 2010

Aerotek/ Lash Group

Charlotte, NC

Called outbound to patients insurance payers

Provided assistance to patients and health care professionals

Provided all necessary documentation required to expedite payments. This includes Demographic, authorization/referrals, National Provider Identification (NPI) number, and Referring physicians

Communicated effectively to payers and/or claims clearinghouse to ensure accurate and Timely electronically filed claim

Claim Report Clerk

November 2005 October 2008

Allstate Insurance

Charlotte, NC

Applied insurance rating systems

Calculated amount of claim

Contacted insured or other involved persons to obtain missing information

Organized and work with detailed office or warehouse records, using computers to enter, Access, search and retrieve data

Posted or attach information to claim file

Prepared and review insurance-claim forms and related documents for completeness EDUCATION

Medical Assisting Diploma

April 2008

MCI College of Health Science at ECPI College of Technology Charlotte, NC

Nursing Assistant Certificate

Nurse Aide Institute of

Excellence Charlotte, NC

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