TAUNQUASHRIA TEMPLES
Aurora IL
*************@*****.***
Well-spoken professional with several years of experience supporting companies with up to several customer service inquiries daily. Patient and helpful navigator of company policies and regulations to best serve customers while adhering to company rules. Successful de-escalator, responding to tense situations with sense of calm and empathy. Payment posting
Claims Processing
Contract Preparation
Fiscal reporting
Coding proficiency
Policy Adherence
Medical terminology knowledge
Follow-up skills
Registration management
Work Quality Evaluation
Quality Assurance
EMR Updating
Payment Processing
Data Entry
Technical Support
Product Knowledge
09/2023 to 06/2024
CVSCAREMARK
Billing Specialist
Generated periodic reports summarizing account balances and collection activities. Reviewed medical records to ensure accuracy of billing information and patient data. Verified insurance coverage and identified third-party payers for billing purposes. Performed insurance verification, pre-certification and pre-authorization. Computed credit terms, discounts and shipment charges for goods or services to complete billing documents. 03/2019 to 09/2023
MOLINA HEALTHCARE
Healthcare Customer Service Representative
Developed strategies for improving customer experience while maintaining compliance standards. Adhered to HIPAA regulations when handling confidential patient information. Ensured that proper follow up was completed after each interaction with a customer. Worked collaboratively with other departments such as billing, coding, clinical documentation improvement specialists when necessary.
Managed incoming calls from patients and other healthcare facilities to provide information or schedule services. Assisted with training new staff members on policies and procedures related to customer service roles within the organization.
02/2016 to 03/2019
ERIE FAMILY HEALTH CENTER
Call Center Representative
Identified opportunities to upsell additional products or services when appropriate. Monitored call queues in order to prioritize incoming calls by urgency or importance level. Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service related issues.
Performed outbound calling campaigns to promote new products or services. Provided accurate information regarding products and services while upselling additional products when appropriate.
Followed standard processes and procedures for proper escalation of unresolved issues to appropriate internal teams.
Participated in daily huddles with team members in order to discuss common goals and objectives. HIGH SCHOOL DIPLOMA
Manley Career Academy High School
SUMMARY
SKILLS
EXPERIENCE
EDUCATION AND TRAINING