Celestina Hicks
Covington
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Benefit Verification Specialist
Optioncare Health
04.2023 - Current
- Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
- Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
- Improved patient satisfaction by accurately verifying benefits and providing timely responses to inquiries.
- Reduced claim denials with thorough insurance eligibility assessments prior to service provision.
Patient Access Representative
Ocshner Medical Center
01.2019 - 03.2023
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
Benefit Verification Specialist
Amerisource Bergen -Lash Group
09.2020 - 02.2023
- Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses.
- Expedited claim approvals by promptly submitting necessary documentation to insurance providers.
- Responded to customer requests for products, services, and company information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Shift Manager
RaceTrac
07.2013 - 01.2022
- Handled escalated customer issues effectively, demonstrating strong problem-solving skills while upholding company values and standards.
- Trained new employees on company policies, procedures, and job responsibilities, ensuring seamless integration into the team.
- Trained and mentored new employees to maximize team performance.
- Improved overall team performance by effectively delegating tasks and providing clear instructions.
- Supervised employees and oversaw quality compliance with company standards for food and services.
- Worked closely with team members to schedule breaks and shifts to meet state regulations.
Education
No Degree - Practical Nursing
North Shore Community College
Bogalusa, LA12.2025
Technical Diploma - Medical Billing And Coding
Compass Career College
Hammond, LA01.2017
Technical Diploma - Medical Assisting
Delta College
Covington, LA06.2014
High School Diploma -
Mandeville High School
Mandeville, LA05.2013
Skills
- HIPAA Compliance
- Claims Processing
- Microsoft Office
- Insurance Verification
- Verbal and written communication
- Benefits Explanation
- Documentation And Reporting
- Benefits Administration
- Multitasking
- Active Listening
- Data Entry
Timeline
Benefit Verification Specialist
Optioncare Health
04.2023 - Current
Benefit Verification Specialist
Amerisource Bergen -Lash Group
09.2020 - 02.2023
Patient Access Representative
Ocshner Medical Center
01.2019 - 03.2023
Shift Manager
RaceTrac
07.2013 - 01.2022
No Degree - Practical Nursing
North Shore Community College
Technical Diploma - Medical Billing And Coding
Compass Career College
Technical Diploma - Medical Assisting
Delta College
High School Diploma -
Mandeville High School
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