Lainey Lane
337-***-**** } Arnaudville, La
*********@*******.***
MANAGEMENT PROFESSIONAL.
Experienced Management Professional with a strong background in data entry, order processing, and accounts receivable. Proficient in date reporting and maintaining accuracy in financial transactions. Skilled in managing insurance medical claims processes with attention to detail and compliance. Excellent organizational interpersonal, and communication skills. Demonstrated ability to work independently in a remote setting and handle a heavy workload efficiently. Seeking a remote position in insurance medical claims to leverage expertise and contribute to streamlined claims processing operations.
CARENET HEALTHCARE [ Houston, TX October 2022 to Present
Call Center Representative, Engagement Specialist
Answering approximately 350 inbound/outbound customer calls daily, providing friendly and courteous assistance by addressing inquiries, solving problems, and offering new product information.
Educate members on the importance of completing screenings, medication adherence, and wellness checkups for babies and adolescent children. Coordinate multiple appointments with various provider types in a single call (PCP, Dental, Vision, Imaging).
Cross – trained in Matrix Medical Healthcare Outbound Program to schedule members for their Annual Healthcare Assessment.
Cross – trained in CVS Caremark 90 Day Retail Program to inform members about maintenance prescription supplies.
Cross – trained in HEDIS HPP Outbound/Inbound Programs to schedule children’s Annual Yearly Checkup with Primary Care.
Adhere to MS guidelines and HIPPA Compliance. Follow company policies and scripts to consistently achieve call time and quality standards.
WHITE GLOVE INTERIOR CARE [ Lafayette, LA March 2022 to July 2022
Call Center – Janitorial Service, Office Administrator
Maintain the CEO’s day-to-day calendar and Schedule, ensuring prompt handling of urgent matters in his absence.
Utilized QuickBooks Online to carry out standard bookkeeping processes efficiently.
Handled all paperwork for new employees, including entering their information into the payroll system.
Oriented new employees to company processes and procedures, addressing any inquiries they had.
Prepared various documents such as invoices, reports, memos, letters, and financial statements for tracking and decision–making purposes.
SLEEP MANAGEMENT [ Carencro, LA January 2021 to March 2022Patient Account Representative, Accounts Receivable
Processed payments from patients and/or insurance companies, accurately posting transactions to customer accounts.
Communicated with insurance companies to verify claims status and drafted appeal letters for claim denials.
Completed and submitted insurance claim forms on behalf of patients.
Organized and maintained medical charts and reports for accurate record–keeping.
Coded invoices for payment processing, ensuring accuracy and compliance with billing regulations
Conducted daily deposits, managed credits, reconciled credit cards transactions, and maintained petty cash funds.
EDUCATION & CERTIFICATIONS
Completed, Cosmetologist 2001 [ COSMETOLOGY TRAINING CENTER
Lafayette, LA
Studied Dental Assisting 2006 [ ACADIAN AREA CAREER COLLEGE
Carencro, LA
Graduated High School 1999 [ CECILIA SENIOR HIGH SCHOOL
Cecilia, LA
TECHNOLOGY
Microsoft Office Suite Word, Excel, PowerPoint, Quick Books, PayPal, Express Time,
PaySpan, Authorize Net, Team DME, Eselfserve, Zirmed, ILinkBlue,
NaviNet, Univita, VMware, Care-portal, Citrix.
SKILLS
Customer Service, Adaptability, Conflict Resolution, Empathy, Critical Thinking, Problem Solving, Active Listening, Detailed Oriented, Time Management, Team Player, Decision Making, Collaborations Skills, Leadership Skills, Technical Skills, Interpersonal Skills.