Chessica Wesson
Little Rock,AR
Summary
Enthusiastic client services professional with strong background directly interfacing with industries. Well-versed in products services and consumer trends. Dependable achiever committed to holding highest ethical standards and maintaining customer trust.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Representative
TrueBridge (Remote)
12.2023 - Current
- Conducted research into medical terminology related to healthcare claims processing activities.
- Documented charges in claim statues using specialized software systems.
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
- Interpreted legal documents such as contracts or court orders when evaluating claims for payment.
- Developed strategies to reduce the number of denied or delayed claims within assigned portfolio.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
- Reviewed a verified claim information to ensure accuracy of data and compliance with established policies.
- investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Resolved complex discrepancies in policyholder files to facilitate accurate claim processing.
- Maintained detailed records of all communication with customers, claimants, providers, and internal developments.
Customer Service Representative
Support Ninja (Remote)
01.2022 - 02.2024
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Gathered customer feedback through surveys and used the data to improve customer service.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Maintained detailed records of customer interactions, transactions, and comments for future references.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Identified areas of improvement in customer service processes and suggested changes accordingly.
- Developed strong relationships with customers by providing personalized assistance and support.
- Tracked orders from start to finish to ensure timely delivery of goods or services.
Unit Clerk
Popular Grove of Little Rock
Little Rock, AR
02.2019 - 10.2021
- Scheduled appointments for patients and coordinated transportation services when necessary.
- Monitored faxes and emails for incoming orders or requests from physicians or other healthcare professionals.
- Ensured accuracy of coding on patient accounts by verifying billing codes against medical records documentation.
- Checked-in patients upon arrival at the facility, collected copays, verified insurance cards.
- Processed invoice related to patient care costs such as lab work or medications.
- Answered inquiries regarding policies, procedures,and services offered by the hospital or clinic setting.
- Prepared discharge summaries following completion of a patient's stay in the facility.
- Coordinated with outside vendors such as laboratories or pharmacies to ensure timely processing of orders.
- Reviewed medical records for completeness prior to release or transfer of files.
- Assisted in maintaining inventory levels of medical supplies in assigned areas.
Switchboard Operator
Wentworth Manor
Magnolia, AR
01.2018 - 02.2019
- Answered and transferred incoming calls to appropriate departments, personnel or outside lines.
- Monitored and recorded daily phone activity in log book.
- Provided customer service support by responding to inquiries and other related issues.
- Assisted customers with account updates, balance inquiries and other related issues.
- Greeted visitors in a professional manner when they arrived at the switchboard station.
Education
Diploma - Medical Billing And Coding
Ultimate Medical Academy
Clearwater, FL2021
Skills
- Product Knowledge
- Inbound and Outbound Calling
- Call Management
- Report Generation
- Consultative Sales
- Data Entry
- Medical Billing
- Customer Relationship Management (CRM)
- Technical Support
- Claims Processing
- Insurance Billing
- Critical Thinking
- Prioritization
- High-energy attitude
- Typing proficiency
- Microsoft Office expertise
- Tactful and diplomatic
- Building rapport
- Medical Office Procedures
- Appointment Scheduling
- Medical Terminology knowledge
- Multitasking and Organization
- HIPPA Compliance
- Customer Service
- EMR Uploading
- Flexible Schedule
- Team Leadership
- Patient Care
- Adaptable
- Compassion and Empathy
- Patient-focused care
- Maintaining confidentiality
Certification
CNA Certification | Texarkana Nursing Academy, Texarkana, AR
Timeline
Claims Representative
TrueBridge (Remote)
12.2023 - Current
Customer Service Representative
Support Ninja (Remote)
01.2022 - 02.2024
Unit Clerk
Popular Grove of Little Rock
02.2019 - 10.2021
Switchboard Operator
Wentworth Manor
01.2018 - 02.2019
Diploma - Medical Billing And Coding
Ultimate Medical Academy