Patient Services Specialist in Medical Administration

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LYNTRA CAMPBELL

High Point, NC ***** 336-***-**** **************@*****.***

PROFESSIONAL SUMMARY

Customer Service Advocate with a specialized background in medical administration, insurance verification, and high-volume operations. Proven track record of managing complex inbound/outbound communications while maintaining strict HIPAA compliance and data integrity. Expert in navigating healthcare software—including Genesys, Navigator, and IRIS—to resolve pharmacy inquiries, process prior authorizations, and manage patient accounts. Recognized for high academic excellence (Dean’s List) and a disciplined, solutions-oriented approach to remote healthcare support.

TECHNICAL SKILLS &

PLATFORMS

Category Software & Tools

Medical Systems Genesys EMR, Navigator, IRIS, Patient Registration Systems

Insurance & Billing ICD-10 & CPT Coding, CMS 1500, Insurance Verification

(HMO/PPO/Medicare/Medicaid)

Remote Collaboration Microsoft Teams (Expert), Zoom, Slack, Outlook (Calendar & Scheduling)

Office Productivity Microsoft Word, Excel (Data Entry/Reporting), PowerPoint

Financial Processing ACH/Credit Processing, EOB Review, Claims Appeals, Patient Account Management

PROFESSIONAL EXPERIENCE

TTECH / OPTUM Remote Customer Service Representative 2022 – 2023

* Remote Operations: Managed professional inbound/outbound communications for Medical Providers, Pharmacies, and Clinical Teams in a 100% remote environment.

* Insurance & Pharmacy Liaison: Investigated coverage eligibility and alternative medicines to ensure patients received timely care and verified insurance plans (HMO, PPO, Medicare, Medicaid).

* Financial Accuracy: Processed co-payments, deductibles, and ACH/credit payments while resolving rejected or denied pharmacy claims.

* Documentation: Utilized Microsoft Teams and Outlook for real-time team collaboration and detailed reporting on patient accounts and prior authorizations. SURTECO USA Production & Quality Specialist 2016 – Present

* Quality Assurance: Inspect finished products with high precision to ensure 100% adherence to strict company specifications and safety standards.

* Workflow Management: Consistently meet high-volume production goals and deadlines, demonstrating the time-management skills necessary for fast-paced remote environments.

* Team Collaboration: Communicate effectively with diverse team members to maintain schedule integrity and operational efficiency.

CONSOLIDATED CONTAINER Machine Operator (Part-Time) 2015 – 2016

* Operational Efficiency: Operated machinery in accordance with strict safety procedures while maintaining a high output rate.

* Detail Orientation: Conducted regular inspections of materials to ensure they met quality standards before moving to the next stage of the supply chain. RALPH LAUREN / POLO Logistics & Documentation Specialist 2014 – 2015

* Data Accuracy: Achieved high levels of accuracy in reading labels and verifying complex numerical data, a skill directly transferable to medical billing and data entry.

* Meticulous Record-Keeping: Documented product and order information on specified forms, ensuring all packing specifications were met for quality control. EDUCATION & CERTIFICATIONS

Ultimate Medical Academy

* Diploma – Medical Administrative Assistant (2022)

* HIPAA Essentials for Healthcare Professionals Certificate

* Honors: Dean’s List / High Academic Honors Recognition Relevant Coursework: Medical Terminology, Medical Law & Ethics, Anatomy & Physiology, Medical Records Management, Third-Party Billing.

REMOTE WORK READY

* Environment: Dedicated, quiet home office with high-speed internet and noise-canceling peripherals.

* Compliance: Fully trained in HIPAA privacy standards for secure handling of Protected Health Information (PHI).

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