Service Representative Customer

Starlet Davis

**** * ****** ****** *******, TX **069 ***************@*****.*** 832-***-****

Objective

Experienced Healthcare Specialist with over 15 years of delivering high-quality healthcare to a wide range of patients in diverse medical settings. Collaborating inter professionally to optimize the patient experience. Seeking to leverage actionable experience and industry expertise to advance organizational objectives. Experience with going over and beyond for all patients, I am looking for my next opportunity in an industry to share ideas and innovation while giving my best experience and expertise for the success of the company.

Skills & Abilities

EMD’s, Centricity, EMR fax monitor, E-Clinical, Transport data into Excel Spreadsheets, Outlook, Adobe Reader, Medi-Cal websites, EMA, UB04 and 1500 forms, Pulse, SAP, Citrix, Kronos, Customer Service Representative, Patient Relations, Professional Multi-Line Telephone Protocol Scheduling Appointments, Medical Records, Filing, Insurance Verifications, Pre-Certification Medical and Insurance Terminology, Medicaid, and Medicare Part A/B, HIPPA compliance, OSHA compliance, Physician Billing, Collections

Experience

Claim Support Associate Lance Soft Inc. Houston, TX

Contract Remote

12/2021-Present

Responsible for reading and interpreting health plan policies, procedure, and instructions when entering claims data for processing.

Collecting data and reviewing details to ensure accurate information is entered into the databases and operating systems.

Responsible for inputting a high volume of data from multiple sources into a database, ensuring that all necessary data is being entered and maintained.

Entering member and account data from source documents within time limits.

Compiling, verifying accuracy and sorting information to prepare source data for computer entry.

Data Entry Specialist Uniquely Divine LLC Houston, TX

1/2020 – 11/2021

Entered, updated information into relevant databases, and ensuring data is backed up.

Created accurate spreadsheets and checked source documents for accuracy.

Gathered invoices, statements, reports, personal details, documents and information from employees, other departments, and clients.

Corrected errors and organizing the information in a manner that will optimize swift and accurate capturing.

Insurance Verification Specialist, Memorial Recruiting, Inc. Katy, TX (Contract)

02/2018-12/2019

Maintain patient demographic information and data collection systems

Verify insurance eligibility for medical benefits by utilizing online websites or contacting the carriers directly

Review patient deductibles and/or copays and enter in the billing systems

Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations

Billing Account Specialist, PFS Group Patient Billing Management Services Inc. Houston, TX

01/2016-01/2018

Answering all incoming calls from patients regarding Medicaid accounts, questions, and concerns

Assist with status of authorizations and appeals for members and providers

Update PCP and demographic information

Verify patients benefits and run CPT codes

Education

Additional Education

Certificate Licenses

Continental Academy High School, Miami Beach, FL

High School Diploma

4.0

Colorado Technical University, Colorado Springs, CO

Associate of Arts Business Administration and Management

GPA: 4.0 Dean’s List

Administrative Assistant, Professional Careers Institute, Houston, TX

Teacher’s Aide Training, Delmar College, Corpus, Christi, TX

Medical Office Specialist, Southern Careers Institute, Corpus Christi, TX

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