Anecka Lewis
May Pen
Summary
Driven professional with a proven track record at Conduent, adept in medical billing and customer service support. Excelled in insurance claims processing and resolving customer complaints, enhancing loyalty and operational efficiency. Skilled in multitasking and critical thinking, consistently exceeding targets through effective team collaboration and innovative problem-solving.
Overview
7
7
years of professional experience
Work History
Medical Biller /Staffing Coordinator, Nursing Administration
Confidential
09.2022 - 09.2023
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Process claims for Medicaid, while ensuring compliance with New York State regulations and payer guidelines.
- Analyze and resolve claim rejections and denials through detailed review and follow-up with insurance providers, by calling MLTC's to check claims status.
- Collaborate with case managers, providers, and insurance companies to ensure accurate billing and timely reimbursement.
- Utilize billing software.
- Monitor and audit patient accounts to verify accuracy and completeness of billing information.
- Filed and updated patient information and medical records.
- Knowledgeable about diagnostic codes.
- Oversee and coordinate all aspects of the infusion therapy program, including patient scheduling with RN, medication management, and care planning.
- Ensure compliance with clinical protocols and supporting clinical staff in delivering high-quality care.
- Ensure timely and accurate delivery of medications and treatments by collaborating with the pharmacy, teams to facilitate timely medication delivery.
Account Executive/Recruiter/Sales Agent/Quality Assurance Analyst
Shadrok Global Business Solutions
08.2019 - 08.2022
- Maintaining CEO Calendar, appointment setting, schedule flights, draft letters and take minutes, also assisting CEO and managing director's with varying day to day duties.
- Prepare training materials for clients, by creating certificates, brochures, flyers & demo's.
- Updating employee records, Sick Days, Vacation & Maternity Leave and assisting with writing Policies for employees – (E.g.Work from Home Policy)
- Provided exceptional customer service, addressing client concerns promptly and effectively to ensure long-term loyalty.
- Managed multiple accounts simultaneously while maintaining organization and prioritizing tasks efficiently.
- Exceeded sales targets consistently by identifying new business opportunities and creating customized solutions for clients.
- Boosted client satisfaction by developing and maintaining strong relationships through effective communication.
- Prepared training materials, monthly report, attend meetings. While monitoring calls of representatives and ensure they are addressing customers’ complaints as per set protocols.
- Collaborate with management to identify and streamline processes and implement process standards that enhance service delivery and the customer experience.
- Design training sessions for new employees and educate them on technical aspects, communication skills, application of knowledge, problem-solving abilities.
Customer Service Representative
Conduent
09.2016 - 12.2016
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Education
High School Diploma -
Vere Technical High School
07.2015
High School Diploma -
Lennon High School
07.2013
Skills
- Insurance Claims
- Medical Billing
- Electronic Claims
- Medicaid, Medicare Knowledge & HIPAA Compliance
- Claim submission, Claims Processing
- Medicare, Medicaid process and ICD-10
- Data Entry
- Multitasking and Organization
- Account Management
- Critical Thinking, analytical, problem-solving,decision-making and communication skills
- Teamwork and Collaboration
- Customer service support
- Microsoft Office Suite
Languages
English
Native language
English
Proficient
C2
Timeline
Medical Biller /Staffing Coordinator, Nursing Administration
Confidential
09.2022 - 09.2023
Account Executive/Recruiter/Sales Agent/Quality Assurance Analyst
Shadrok Global Business Solutions
08.2019 - 08.2022
Customer Service Representative
Conduent
09.2016 - 12.2016
High School Diploma -
Vere Technical High School
High School Diploma -
Lennon High School
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