Data Entry Customer Service
Resume:
LAKESHIA HYATT
Miramar, FL *****
***************@*****.***
Professional Profile:
Highly motivated and enthusiastic Human Services professional seeking a career opportunity as a Patient Finance/Admissions Clerk in which I can utilize my knowledge and experience to add value to your organization. Patient-focused, detail-oriented, and compassionate. Personable and courteous in all interactions with patients and team members. I have a strong desire to succeed in a position offering opportunities for personal contribution and professional growth.
Core Skills & Strengths:
- Strong Work Ethic
- Excellent Communication skills
- Problem Solver
- Highly Organized
- Team Player
- Exceptional Written & Verbal Skills
- Exceptional Customer Service
- Excellent Computer Skills & Microsoft Office Suite
- Call center (inbound/outbound calling) & TeleSales
- Data Entry & Appointment scheduling
- Commercial insurance billing & Medicare/Medicaid
- Collections
Professional Experience:
CVS (Temporary Remote position)
Member Advocate Nov. 2023 - Mar. 2023
-Serve as the main point of contact for members, responding to inquiries via phone, email, or other communication channels.
-Provide prompt and professional assistance to members by addressing their questions, concerns, and requests effectively and efficiently.
-Ensure excellent member satisfaction through active listening, empathy, and problem- solving.
-Maintain a thorough understanding of the organization's products, services, benefits, and programs in order to provide accurate information to members.
-Process member requests, such as enrollment, claims, billing, and eligibility changes, in accordance with established procedures and guidelines.
-Collaborate with internal teams, such as claims, billing, and enrollment, to resolve member issues and ensure timely resolution.
-Document and maintain accurate records of member interactions, inquiries, and resolutions in the organization's database or customer relationship management (CRM) system.
-Identify and escalate complex or unresolved member issues to the appropriate team or supervisor for further investigation and resolution.
-Stay updated on industry trends, regulations, and best practices related to member services in order to provide informed and up-to-date assistance to members.
-Participate in training sessions and ongoing professional development activities to enhance knowledge and skills related to member service and support. Powell Health Solutions
Patient Care Coordinator Mar. 2017 – March 2020
- Helped patients enroll in various insurance plans
- Checked in and checked out patients
- Collected copays
- Contacted patients to confirm appointments
- Performed insurance verifications and pre-qualifications by using a specific software program and contacting insurance companies
- Checked voicemails and faxes periodically throughout shift VITAS Healthcare
Admissions Coordinator Mar. 2012 - Mar. 2017
- Answered questions regarding admissions criteria, hospice services, and referral requests
- Received admission referrals and recorded information accurately on referral forms and tracking sheets
- Contacted physician offices for authorization and approvals when needed
- Contacted patients/family/significant others/POA/HCP and made appointments for admission evaluations with Nurses via Appointment Everywhere
- Performed insurance checks and pre-qualifications checks by contacting insurance companies
Jackson Memorial Hospital
Patient Finance Associate Jun. 2006 - Mar. 2012
- Registered and admitted patients to the Jackson Health System
- Verified insurance coverage and obtained authorization for outpatient/inpatient services
- Enforced department policies and procedures concerning financial responsibilities
- Placed outbound calls to Medicaid and Medicare providers to collect payments
- Updated the data files and folders with recent transactions and processed payments from patients via cash or credit
- Placed outbound calls to Medicare & Medicaid providers to collect payments
- Other duties included cash posting, applying insurance payments and adjustments
- Answered phones, helped schedule appointments, faxed, made copies, and performed other clerical duties
Education:
Continental Academy High School/Diploma
BLS Certified
Contact this candidate