Customer Service Data Entry

Yolanda Lyon

Cell: 919-***-****

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

Summary

Dedicated professional with over 20 years of experience in the healthcare field, specializing in customer service and patient care. Passionate about helping others and enhancing patient satisfaction through effective communication, problem-solving, and a compassionate approach. Proven ability to streamline healthcare processes and improve patient experiences by providing personalized support and ensuring accurate and timely resolution of issues.

Summary of Skills

Excellent Communication Skills

Customer Service

Problem Solving

Medical Terminology

Coordination of Benefits

Time Management Skills

Accomplishments

Production: Consistently met production and schedule levels.

Compliance: Maintained compliance with regulatory standards by HIPAA.

Collaboration: Supported projects and queries team, leading to greater efficiency. Collaborated with various departments to develop strategies for better customer service. Provided assistance to team members when needed.

Professional Experience

Student Blue (Temporary Help)

November 2018

Assisted with processing over 500 student waivers, ensuring accurate data entry and timely resolution of issues using applications such as Emdeon, Blue E, Medcost, and StudentBlueAdmin.

Blue Force Web Support

October 2017 – Present

Answered an average of 50-70 phone calls daily to assist with open enrollment, providing clear and concise information to customers using applications such as Facets, Genesys, and Ally.

Ops Specialist

September 2009 – Current

Blue Cross and Blue Shield NC (State) – Durham, NC

Coordinated benefits for Medicare and other coverage claims, processing an average of 200 claims per week.

Adjusted claims for corrections, reducing errors by 15%, and reached out to providers for clarification, improving claim resolution times by 20%.

Financial Recovery Specialist

August 2008 – September 2009

Blue Cross and Blue Shield of NC – Durham, NC

Handled credit memos and voucher deducts, recovering over $100,000 in outstanding balances within the first six months.

Ops Specialist

August 2005 – August 2008

Blue Cross and Blue Shield of NC – Durham, NC

Worked on projects and queries to resolve claim issues, successfully handling over 1,000 special claims and improving processing times by 25%.

Claims Examiner

August 2000 – July 2005

Cigna Healthcare – Cary, NC

Coordinated benefits for Medicare and other coverage claims, processing an average of 150 claims per week with a 98% accuracy rate.

Patient Representative

January 2000 – August 2000

UNC Ambulatory Care – Chapel Hill, NC

Scheduled appointments, checked in/out patients, and handled money, managing an average of 30 patients daily and ensuring a smooth and efficient patient flow.

Claims Examiner

December 1991 – August 1999

Blue Cross and Blue Shield of NC – Durham, NC

Data entry, processed, and coordinated claims, handling an average of 100 claims per day with a 95% accuracy rate.

Medical Underwriter Assistant

May 1991 – December 1991

Blue Cross and Blue Shield of NC – Durham, NC

Assisted nurses with mailing out letters, phone calls, and various other tasks, supporting the team in processing over 200 medical underwriting cases monthly.

Education

Durham Technical Community College

Durham, NC, United States

Associate of Science in Electronic Engineering Technology, 2003

Major: Soldering

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