Remote Customer Support & Administrative Specialist

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Kimberly D. Riley

St. Louis, MO • 618-***-**** • ***********@*****.*** Professional Summary

Dedicated and detail-oriented Customer Service and Healthcare Professional with 10+ years of experience in patient care, insurance verification, and administrative support. Proven ability to manage high call volumes, resolve customer concerns, and coordinate services efficiently. Skilled in remote communication, data entry, and navigating electronic medical records (EPIC). Seeking a remote position where I can deliver excellent customer support and administrative assistance.

Core Skills

Remote Customer Support

Call Center Operations

Insurance Verification & Authorizations

Medical Billing & Coding (ICD-9, ICD-10, CPT)

Data Entry & Documentation

Patient Scheduling & Coordination

Complaint Resolution

Payment Processing

EPIC Systems

HIPAA Compliance

Time Management & Multitasking

Microsoft Office / Windows

Professional Experience

Customer Service Representative (Remote-Ready Role) Optum Rx — Nov 2023 – Present

Manage inbound/outbound calls assisting patients with medication services Coordinate prescription deliveries and resolve customer concerns Verify insurance benefits and obtain prior authorizations Process payments and maintain accurate data entry records Provide clear communication and support in a fast-paced environment Patient Navigator

Barnes Jewish Hospital — Feb 2022 – Nov 2023

Assisted patients with insurance, billing, and healthcare resources Handled high-volume calls and complex customer concerns Coordinated care services and provider referrals

Maintained detailed documentation and patient records Medical Assistant

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Mercy Hospital — Mar 2018 – Feb 2022

Scheduled appointments and managed patient intake

Processed insurance claims and prior authorizations Performed EKGs and assisted with clinical procedures Maintained accurate patient documentation in EPIC

Medical Assistant

Chambers Sports Medicine — Jul 2017 – Mar 2018

Collected vitals and patient histories

Assisted with documentation and insurance verification Ensured HIPAA compliance and accurate record keeping Medical Assistant

SLU Children’s Medical Clinic — Aug 2011 – Jun 2017 Managed patient check-ins, triage, and scheduling

Administered injections and performed blood draws

Verified insurance and processed claims

Patient Care Attendant

Gulf Coast Family Services — Mar 2005 – Jul 2011

Provided in-home patient care and daily living assistance Supported elderly and disabled individuals

Education

High School Diploma

Lincoln High School — East St. Louis, IL

Certifications

CPR Certified

Certified Clinical Medical Assistant (CCMA)

Registered Medical Assistant (RMA)

Certified Medical Assistant (CMA)

Contact this candidate