Atya Butler
Philadelphia
Summary
Provider Claims Service Representative/Customer Service Representative seeking to use earned skills and knowledge to provide quality work within a growing company. Demonstrated skill with being consistentand effective in motivating others to achieve common goals and reach quality standards.Confident and poised with individuals on all levels with strong organizational andinterpersonal skills. Core qualities include being ethical, trustworthy, reliable, and dependable decision making.
Overview
6
6
years of professional experience
Work History
Registration Specialist and Scheduling Representat
Healthy Choice and Happiness Home Care
Philadelphia
07.2023 - Current
- Cross-trained other staff members on registration processes when needed.
- Assisted in the management of patient information, including data entry and maintenance of medical records.
- Resolved any discrepancies between insurance companies, physicians, hospitals, and and or other healthcare providers regarding payments or services rendered.
- Provided excellent customer service to patients and their families regarding registration process.
- Performed additional duties as assigned by management team.
- Followed established procedures while registering new patients into the system.
- Attended meetings and training sessions as requested by supervisors.
- Utilized multiple computer systems to access patient information, update records, verify insurance eligibility.
- Maintained confidentiality of all protected health information as required by HIPAA regulations.
- Responded to incoming department phone calls and directed callers to appropriate team members based on need.
Enrollment Specialist
Strive Healthcare
Philadelphia
07.2021 - 08.2022
- Understood and thoroughly explained services provided to customers and potential customers.
- Facilitated seamless transitions for enrollees, connecting them with necessary resources post-enrollment.
- Coordinated with multiple departments to streamline enrollment process, making it more efficient.
- Participated in professional development opportunities, continuously refining skills and staying current on emerging trends within higher education administration spaces.
- Cultivated supportive team environment, training new staff on best practices in enrollment management.
- Resolved applicant inquiries promptly, providing detailed information and clarifications when needed.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Worked with cross-functional teams to achieve goals.
Provider Claim Service Representative
AmeriHealth Caritas
Philadelphia
05.2019 - 07.2021
- Suspends claims requiring additional information and/or special handling; initiatesaction to obtain required information Forwards claims requiring external department intervention to the appropriatedepartment or person Monitors outstanding inquiries and works with management staff to identify andresolve areas of non-compliance Reconciles audit discrepancies, corrects in system and make appropriate changes to avoid recurrence
- Generated reports detailing claim activity and other relevant information.
- Provided timely updates to customers about the status of their claims.
- Reviewed and processed insurance claims according to established procedures.
Member Service Representative
AmeriHealth Caritas
Philadelphia
01 2017 - 05.2019
- Created accurate and timely member documentation concerning all inquiries takenin accordance to established protocols to ensure resolution is provided and presented in a clear and accurate manner| Page Strive to resolve an inquiry on first contact while ensuring that the inquiries have been addressed to the customer's satisfaction by using all resources in an efficient and timely manner Provide feedback and/or solutions to supervisor to ensure continuous process improvement and provide a better customer experience
- Tracked customer feedback through surveys or other methods to identify trends or areas of improvement.
- Greeted customers in a friendly and professional manner.
- Participated in team meetings to discuss customer service strategies and goals.
- Ensured compliance with applicable laws and regulations related to banking operations.
- Answered incoming calls regarding membership benefits and services.
- Maintained accurate records of member interactions and transactions.
- Adhered to all applicable policies, procedures, regulations, and laws.
Home Health Aide
Dana Ballard
01 2014 - 01 2015
- Monitored patient condition by observing physical and mental condition, intake and output, and exercise
- Supported patients by providing housekeeping and laundry services; shopping for food and other household requirements; preparing and serving meals and snacks;running errands Assisted patients by providing personal services, such as, bathing, dressing, and grooming Helped family members care for the patient by teaching appropriate ways to lift,turn, and re-position the patient, advising on nutrition, cleanliness, andhousekeeping
Education
Medical Administrative Assistant - Healthcare
Lincoln Technical Institute
Philadelphia, PA12-2010
Intermediate Certificate - Hair Care
Barons Castle Beauty Academy
Philadelphia, PA11-1996
High School Diploma -
Germantown High School
Philadelphia, PASkills
- TECHNICAL/COMPUTER SKILLS
- Software:
- Vista, Windows XP, Microsoft Access, Facets, Verint
- Intermediate Skilled in Word, PowerPoint, and Excel
- Patient registration
- Insurance verification
- HIPAA compliance
- Customer service
- Conflict resolution
- Cross-functional collaboration
- Training and development
- Claims processing
- Attention to detail
- Effective communication
- Time management
- Problem solving
- Documentation and reporting
- Verbal and written communication
Personal Information
Timeline
Registration Specialist and Scheduling Representat
Healthy Choice and Happiness Home Care
07.2023 - Current
Enrollment Specialist
Strive Healthcare
07.2021 - 08.2022
Provider Claim Service Representative
AmeriHealth Caritas
05.2019 - 07.2021
Member Service Representative
AmeriHealth Caritas
01 2017 - 05.2019
Home Health Aide
Dana Ballard
01 2014 - 01 2015
Medical Administrative Assistant - Healthcare
Lincoln Technical Institute
Intermediate Certificate - Hair Care
Barons Castle Beauty Academy
High School Diploma -
Germantown High School