Shacola DupatyRosharon, TX 775**-***-*** **** *********@*****.***
Professional Summary
Results oriented customer service and billing specialist with a blend of entrepreneurial and corporate experience. Over 5 years of hands on experience managing client accounts, processing high volume transactions and claims, and responding to customer inquiries across multiple channels. Recognized for maintaining accurate records, resolving billing disputes with empathy and efficiency, and meeting performance standards in fast paced environments. Adept at using office productivity software and quickly learning new billing and customer information systems. Core Competencies
Customer & Account Service – Respond to inquiries by phone, email and chat; investigate and resolve billing exceptions; deliver exceptional service with professionalism and empathy. Using analytical thinking to understand the core issue and then applying creative solutions. Billing & Claims Processing – Process insurance claims and client invoices with a high degree of accuracy; ensure compliance with policies and procedures; maintain confidential records. Systems & Software Proficiency – Skilled in Microsoft Office (Word, Excel, Outlook) and experienced with proprietary claims systems; adaptable to new systems such as SAP Communication & Collaboration – Strong verbal and written communication skills; able to communicate across departments and with diverse customer bases; collaborate within team environments.
Organization & Time Management – Efficiently balance simultaneous tasks, meet deadlines, and adapt to shifting priorities and schedules.
Professional Experience
Owner Full Body Hair Removal Studio, Houston, TX Self Employed — 2017 – Present
Built and managed a high volume personal care business serving over 200 loyal clients. Oversaw all aspects of operations including customer scheduling, account management, inventory control and marketing.
Handled inbound and outbound client communications via phone, text messaging and email. Resolved appointment changes, billing questions and product inquiries promptly and professionally. Generated and processed invoices for services rendered, monitored accounts receivable and ensured timely payment. Investigated and corrected billing discrepancies and issued adjustments when necessary.
Developed policies and procedures to maintain a consistent service experience and documented client preferences and transactions for accurate record keeping. Hired and trained support staff, delegating tasks and supervising daily activities to ensure high quality service and adherence to safety standards. Claims Processor Cigna Healthcare, Houston, TX
Cigna Healthcare — 2019 – Present
Reviewed and processed hundreds of surgical insurance claims per week, ensuring accuracy, eligibility and compliance with HIPAA requirements. Communicated with medical providers, policyholders and internal departments via phone and email to obtain missing documentation and clarify claim details, often handling multiple cases concurrently.
Researched and resolved billing exceptions and discrepancies by comparing claim data with policy provisions and prior authorizations.
Documented claim statuses and actions in proprietary claims processing systems and updated account records for audit readiness.
Met quality and productivity targets consistently by adhering to standardized procedures and collaborating with colleagues to prioritize workload during peak periods. Education & Licenses
Texas Southern University, San Jacinto college
Sebring Cosmetology School, Cosmetology License — 2002 Ross Shaw Sterling High School, High School Diploma — 2000 Additional Information
Flexible and willing to work varied shifts, including evenings and weekends, to meet operational requirements.
Committed to continuous learning; eager to become proficient in customer information systems and mass market billing processes.