Data Entry Customer Service
Resume:
Felicia Gibbs
West Columbia, SC *****
*********@*****.*** 704-***-****
Professional Summary
Detail-oriented and compassionate healthcare support professional with over 5 years of experience in healthcare data entry, benefits verification, and administrative support. Adept at managing sensitive patient data, ensuring compliance with HIPAA regulations, and delivering exceptional customer service. Strong organizational and communication skills, with a proven ability to thrive in fast-paced clinical and payer environments.
Core Competencies
- Healthcare Data Entry & Documentation
- Benefits Verification & Claims Processing
- HIPAA Compliance
- Insurance Payer Research
- Patient & Provider Communication
- EMR Systems & Microsoft Office Suite
- Call Center & Inbound/Outbound Communication
- Medical Terminology & Prior Authorizations
Professional Experience
Parental Leave / Career Pause
- Took planned time away from the workforce to care for a newborn and manage family responsibilities.
- Remained actively engaged in the healthcare field by following industry news, participating in online forums and webinars, and refreshing knowledge of HIPAA compliance and insurance workflows.
- Continued professional development through reading trade publications and reviewing healthcare data entry trends to stay prepared for re-entry into the workforce.
Data Entry Specialist, CareMetx, LLC — Remote (Dec 2023 – Feb 2024)
- Managed high-volume intake of correspondence, faxes, and documents for healthcare support programs.
- Logged and triaged incoming documentation using proprietary healthcare databases.
- Conducted payer research and routed data to appropriate specialists for benefits resolution.
- Ensured timely and accurate distribution of client reports and insurance documentation.
- Maintained compliance with HIPAA standards for sensitive patient data.
- Communicated with internal departments to resolve discrepancies and improve data accuracy.
Customer Service Advocate, Humana / Conduent — Columbia, SC (Jul 2022 – Dec 2023)
- Handled inbound calls from health plan members and providers regarding benefits, claims, and eligibility.
- Performed data entry to document patient interactions, appointments, and follow-up actions.
- Filed appeals and resolved claims issues while meeting performance metrics.
- Provided accurate, detailed information on plan benefits and coverage.
- Escalated complex cases to supervisors or specialized departments as needed.
- Maintained composure and professionalism in high-volume call center setting.
Benefits Verification Specialist, AmerisourceBergen — Fort Mill, SC (Nov 2021 – Jul 2022)
- Verified insurance eligibility and benefits for patient therapies.
- Educated patients on coverage status and out-of-pocket responsibilities.
- Maintained accurate patient records in healthcare databases.
- Coordinated with insurance carriers and medical providers to obtain prior authorizations.
- Adhered to compliance protocols and organizational documentation standards.
- Responded promptly to time-sensitive benefit inquiries.
Bank Teller, US Bank — West Columbia, SC (Feb 2021 – Nov 2021)
- Delivered secure transaction services and provided customer support regarding account access.
- Managed digital documentation and sensitive financial data entry.
- Verified identification and processed withdrawals, deposits, and account maintenance.
- Promoted bank products and services based on customer needs.
- Balanced cash drawers daily and ensured transaction accuracy.
Benefits Verification Specialist, Lash Group — Fort Mill, SC (Oct 2017 – Feb 2018)
- Coordinated with insurance carriers to verify benefits and coverage.
- Ensured accurate, complete patient documentation for reimbursement processing.
- Handled confidential patient data with discretion and professionalism.
- Worked closely with team members and supervisors to meet verification targets.
- Maintained updated knowledge of payer policies and guidelines.
Customer Service Advocate, GoHealth — Columbia, SC (Apr 2017 – Oct 2017)
- Qualified applicants for health insurance coverage and recorded data in CRM systems.
- Provided frontline patient support and benefits education.
- Maintained detailed documentation of interactions and outcomes.
- Assisted customers with navigating plan options and resolving enrollment issues.
- Met or exceeded performance benchmarks in call handling and customer satisfaction.
Education
South University – Columbia, SC
Master of Science in Leadership — June 2016
South Carolina State University – Orangeburg, SC
Bachelor of Science in Psychology — Dec 2012
Certifications
- Certified Behavioral Health Technician
- CPR & First Aid Certified
- Child Development Associate
Technical Skills
- Microsoft Office Suite (Excel, Word, Outlook)
- CRM & EMR Systems
- CMS & Insurance Portals
- Typing Speed: 70+ WPM
References
Available upon request.
Contact this candidate