DERWINISHA TOLIVER
Houston, TX ***** • 346-***-**** • *****************@*****.***
Professional Summary
Experienced customer service representative with a strong background in telephone customer service, collections, and appointment scheduling. Well-versed in several customer service software solutions, exhibiting exceptional organizational skills and a keen attention to detail in managing customer interaction logs. Proficient in handling up to 100 calls daily, providing assistance with customer sign-ups and data retrieval. Authorized to work in the U.S. for any employer.
Skills
• MS Office (5 years)
• Collections (2 years)
• Account Management
• Accounts Receivable
• Negotiation (2 years)
• Cold Calling
• Customer support (6 years)
• Medical Billing
• Data Entry
• Medical Coding
• Medical Records
• Insurance Verification
• Medical Office Experience
• CPT Coding
• Active Listening
• Planning and Coordination
• Epic Software Proficiency
Work History
Patient Care Representative, 08/2023 to 03/2025
Texas Children Hospital – Bellaire Tx
Verifiy insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
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Maintain confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
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Coordinated patient referrals to specialists or external facilities when necessary for further treatment or evaluation.
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Medical Claims Representative, 10/2021 to 08/2023
Conduent – Remote
• Managed large volume of medical claims on daily basis.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Generated, posted and attached information to claim files. Collections Representative, 01/2019 to 09/2021
iQor – Plano, TX
Resolves client-billing problems and rescues accounts receivable delinquency, applying good customer service in a timely manner
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• Collect customer payments in accordance with payment due dates
• Identify issues attributing to account delinquency and discuss them with management Education
High School Diploma
Houston Can Academy North