Christy Henslee
Neosho
Summary
Seasoned insurance specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.
Overview
10
10
years of professional experience
Work History
Mercy Remote Claims Specialist
Mercy Hospital St. Louis
Neosho
11.2022 - Current
- Communicate with patients regarding claim status and required information.
- Analyze claim trends to identify potential issues or discrepancies.
- Maintain detailed records of claims processing activities for auditing purposes.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
- Collaborated with other departments within the organization to resolve issues related to claims processing.
- Communicated with other departments to establish action plans and manage open claims to closure.
Patient Service Representative
Neosho Mercy Clinic
Neosho
08.2020 - 11.2022
- Processed prior authorization requests for various medical procedures and medications.
- Managed appeals for denied authorizations, ensuring timely follow-ups and resolutions.
- Educated patients about their insurance coverage and prior authorization requirements.
- Assisted patients with appointment scheduling and registration processes.
- Managed incoming calls and addressed patient inquiries effectively.
- Assisted with scheduling follow-up appointments according to provider availability.
- Coordinated with patients and healthcare professionals to meet patient needs.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Patient Service Representative
Mercy Heart Care
Joplin
02.2016 - 05.2020
- Verified insurance information, collected payments, and scheduled appointments.
- Inputted patient demographic data into electronic health record system.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Obtained proper authorization and identification to release confidential medical records.
- Ran credit card batches and balanced deposits on daily basis.
- Prepared letters and documents for mailing as requested by supervisor or physician staff.
- Referred patients to appropriate professionals and services.
Education
Neosho High School
Neosho, MOSkills
- Claims processing
- Benefits calculation
- Insurance verification
- Documentation management
- Attention to detail
- Claims investigation
- Allocating claims
- Computer proficiency
- Insurance coverage verification
References
References available upon request.
Timeline
Mercy Remote Claims Specialist
Mercy Hospital St. Louis
11.2022 - Current
Patient Service Representative
Neosho Mercy Clinic
08.2020 - 11.2022
Patient Service Representative
Mercy Heart Care
02.2016 - 05.2020
Neosho High School