Insurance Verification Representative
Resume:
Kiana Patrick
Franklinton, NC *****
**************@*****.***
Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Insurance Verification Representative
WellSpan Health-Remote
July 2024 to Present
• Verified insurance coverage for patients by contacting insurance companies and gathering necessary information
• Reviewed insurance policies and determined the extent of coverage for medical procedures and treatments
• Ensured accurate data entry of patient information, policy details, and claim numbers into the system
• Collaborated with healthcare providers to obtain pre-authorization for medical services from insurance companies
• Investigated discrepancies in insurance claims and resolved issues to ensure timely reimbursement
• Maintained up-to-date knowledge of insurance regulations, policies, and procedures to accurately verify coverage
• Communicated effectively with patients regarding their insurance benefits, explaining any limitations or requirements
• Coordinated with billing department to reconcile any billing errors or denials related to insurance verification
• Performed regular audits on patient accounts to identify potential billing or coding errors that could impact reimbursement
• Developed strong relationships with insurance company representatives to expedite the verification process
• Collaborated with cross-functional teams including physicians, nurses, and administrators to gather necessary documentation for successful verifications
• Utilized electronic systems such as EMR (Electronic Medical Records) software to access patient information quickly during the verification process
• Served as a subject matter expert on various types of insurances including PPOs, HMOs, Medicare/ Medicaid ensuring compliance with specific guidelines
• Collaborated with the finance department to resolve billing discrepancies and ensure accurate reimbursement from insurance companies
• Maintained confidentiality of patient information and adhered to HIPAA regulations throughout the insurance verification process
• Assisted patients in understanding their financial responsibilities for medical services not covered by insurance
• Provided excellent customer service by promptly addressing patient inquiries related to insurance coverage and claims
• Developed and implemented quality control measures to minimize errors during the verification process CSR - Customer Service Representative
InSpiriTec, DMDC-Remote
March 2023 to Present
Work from Home Position.
• Resolved customer inquiries, complaints, and issues in a timely and professional manner
• Managed a high volume of incoming calls and emails, averaging XX interactions per day
• Participated in ongoing training sessions to stay updated on product features, industry trends, and best practices in customer service
Store Manager
GNC-Shrewsbury, PA
October 2021 to Present
• Oversaw all aspects of store operations, including sales, customer service, inventory management, and staff supervision
• Developed and executed marketing campaigns to increase brand awareness and attract new customers
• Managed a team of XX employees, providing training, coaching, and performance evaluations to ensure high levels of productivity and customer satisfaction
• Ensured compliance with company policies, procedures, and safety regulations at all times
• Led regular team meetings to communicate goals, provide updates on performance metrics, and foster a positive work environment
• Developed employee schedules based on business needs while effectively managing labor costs within budget constraints
• Utilized POS systems to track sales data, monitor inventory levels, analyze trends, and generate reports for informed decision-making
• Conducted regular store audits to assess visual merchandising standards and make necessary adjustments for optimal presentation
• Implemented incentive programs that motivated employees to exceed sales targets resulting in an XX
% increase in monthly revenue
• Conducted regular performance evaluations for staff members, providing constructive feedback and identifying areas for improvement
• Managed store budgets, tracking expenses, and implementing cost-saving measures to maximize profitability
Administrative Assistant/Bookkeeper
H&R Block-Red Lion, PA
December 2020 to April 2025
• front desk
• Greeted clients as they entered
• Answered the phone for a company of over 10 employees
• Made calls to clients
• Checked in clients
• Made appointments for clients
• Kept up-to-date records on prior tax filing information
• Collected and processed tax documents
• Documented financial data
• Faxed, copied, and scanned documents
• assisted tax professionals
• provided information to clients and assisted with the process before meeting with the tax pro
• Processing payments
• Explaining upcoming process to clients in a way they thorougly understand
• Managing bank deposits and accurately creating deposit slips. Debt Collector/Customer Service
Continental Finance Company, LLC-Remote
January 2023 to September 2024
• Offer Credit Repair Solutions
• discuss debt and steps towards financial stability
• Negotiated and collected outstanding debts from delinquent customers, consistently meeting or exceeding monthly collection targets
• Utilized effective communication skills to establish rapport with debtors, facilitating successful payment arrangements
• Managed a high volume of accounts, prioritizing collection efforts based on account aging and potential for recovery
• Resolved customer inquiries regarding their debts in a professional and timely manner, providing clear explanations of outstanding balances and payment options available
• Maintained a high level of professionalism and empathy while addressing customer concerns and complaints
• Handled inbound and outbound customer calls, providing excellent service and resolving issues in a timely manner
• Utilized CRM software to accurately document customer interactions, ensuring accurate tracking of inquiries and resolutions
• Assisted in the training of new call center agents, providing guidance on company policies, procedures, and product knowledge
• Collaborated with other departments such as billing or technical support teams to resolve complex customer issues
• Recognized as top performer based on consistently meeting or exceeding key performance indicators
(KPIs) such as average handle time (AHT), quality scores (QA), sales conversion rates
• Maintained a high level of professionalism and composure during challenging or stressful customer interactions
Entry Level Recruiter - Remote
Axis, RPO LLC-Remote
May 2020 to October 2022
• Sourced and screened candidates for various positions, ensuring a high-quality talent pool
• Utilized applicant tracking system (ATS) to track candidate progress and maintain accurate records
• Developed innovative sourcing strategies to attract passive candidates through social media platforms, networking events, and industry-specific websites
• Negotiated offers of employment including compensation packages, start dates, relocation assistance, etc
• Implemented pre-employment assessments to evaluate technical skills or behavioral competencies of applicants
• Ensured compliance with all applicable laws and regulations related to recruitment processes such as equal employment opportunity (EEO) guidelines
• Provided guidance on interview techniques and best practices to hiring managers throughout the organization
• Maintained confidentiality of sensitive information during the recruitment process
• Collaborated with HR team members on workforce planning initiatives
• Developed metrics-driven reports on key performance indicators (KPIs) such as time-to-fill ratio or cost- per-hire
• Analyzed market trends and competitor data to identify areas for improvement in recruiting strategies
• Established strong relationships with external staffing agencies or search firms when additional support was needed
• Implemented employer branding initiatives to attract top talent, including social media campaigns or employee testimonials
Assistant Manager
Bath & Body Works-Bel Air, MD
October 2019 to April 2020
• Greeted customers in a friendly manner
• Assisted an average of 50+ customers per day
• Answered customer questions
• Processed customer transactions
• Handled returns and exchanges
• Helped ensure customer satisfaction
• Restocked merchandise
• Organized new merchandise
• Managed a group of associates
• Oversaw day to day store operations
• Opened and closed store
• Provided excellent customer service to all customer in a timely manner
• Managed daily reports of transactions
• Trained new employees on store processes and procedures
• Coordinated schedules and assigned associate shifts
• Enforced company policies and procedures
Education
Social Sciences (Associate)
Wake Technical Community College-Raleigh, NC
September 2017 to December 2019
High school diploma or GED
Needham Broughton High School-Raleigh, NC
August 2012 to June 2016
Upper secondary education
Skills
• Research
• Leadership Development
• Call center experience
• Sales
• Google Docs
• Grammar Experience
• Time management
• Business management
• Content management
• Front desk
• Cash register
• Sales management
• Digital marketing
• Contract management
• Cash Handling
• Operating systems
• Analysis skills
• Accounting
• SharePoint
• Payroll
• Pet Care
• Writing skills
• Store management
• QuickBooks
• Virtualization
• Organizational skills
• Leadership
• Cash handling
• Microsoft Office, CPR training, Customer Service
• Human resources
• Project management
• Pet Sitting
• Assistant manager experience
• 10 key typing
• Conflict management
• Communication Skills
• Kennel Experience
• Communication skills
• Editing
• Bookkeeping
• Public Speaking
• Detailing
• Exceptional Listener
• Filing
• Continuous integration
• Recruiting
• Microsoft Office
• Proofreading
• Makeup Application
• Fashion retail
• Microsoft Excel
• Microsoft Outlook Calendar
• Phone etiquette
• Caregiving
• Pet Grooming
• Human resources management
• Tax experience
• Supervising experience
• Creativity
• Dog Handling
• Live chat
• Customer service
• Receptionist
• Accounts receivable
• Social media management
• Restaurant experience
• Typing
• MS Office
• Pet care
• Hospitality
• Account management
• Multi-line phone systems
• Negotiation
• POS
• Animal Care
• Guest services
Languages
• English - Expert
Certifications and Licenses
CPR/First Aid
First Aid
ServSafe
CPR
Customer Service Skills - Proficient
June 2018
Indeed Assessments™ evaluation completed with Proficient rating. View my results:
https://share.indeedassessments.com/share_assignment/qzp-1ekcqyngxnfd
Contact this candidate