DIAMOND MICKENS
OLIVE BRANCH
Summary
Experienced professional with expertise in insurance coverage verification, claim resolution, and customer service. Proficient in multitasking and collaborating with team members to ensure accurate and timely processing of insurance documents. Track record of success in implementing process improvement initiatives to enhance efficiency and accuracy.
Overview
8
8
years of professional experience
Work History
Benefits Specialist
ProActive Heart & Vein Center
01.2025 - Current
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
PATIENT FINANCIAL ADVOCATE
First Source
05.2023 - 01.2025
- Responded promptly to patient inquiries regarding their bills via phone calls or emails
- Monitored accounts receivable aging report daily to ensure timely follow up of overdue invoices
- Provided excellent customer service to patients and families while helping them navigate their billing and financial concerns
- Advised patients on potential resources available for assistance with medical bills including government programs or charity organizations
- Successfully negotiated payment arrangements with insurers to reduce out-of-pocket expenses for patients
- Developed strategies aimed at improving collections performance while maintaining compliance standards set forth by regulatory agencies
INSURANCE VERIFICATION SPECIALIST
Saint Francis Hospital
07.2022 - 05.2023
- Utilized exceptional customer service skills to effectively communicate with insurance companies, providers, and patients regarding benefit information
- Reviewed patient deductibles and copays and entered into billing system
- Followed established verification processes to confirm insurance benefits, medical necessity, and authorization
- Demonstrated expertise in verifying insurance coverage and eligibility for patients by utilizing various online databases, phone calls, and other resources
- Participated in training sessions designed to improve understanding of new technologies used in the department
- Responded promptly to inquiries from customers regarding their benefits coverage status or other questions about their policy provisions
MEDICAL DATA ANALYST
Christ Community Administration
11.2020 - 06.2022
- Implemented advanced analytics methodologies such as predictive modeling and machine learning algorithms to develop insights from medical datasets
- Analyzed financial performance metrics for health care organizations utilizing Excel spreadsheets
- Developed strategies for improving the overall efficiency of operations through better utilization of available resources such as personnel, equipment and technology
- Collaborated with physicians, nurses, administrators and other stakeholders in order to understand their needs regarding medical data analysis
- Identified opportunities for improvement within existing systems used by hospitals or clinics when it comes to gathering patient information
- Provided technical support for the development of healthcare applications related to medical data analysis
HR ADMINISTRATIVE ASSISTANT
Aim Logistics
09.2017 - 10.2020
- Provided administrative support for HR team including filing, sorting mail, photocopying, scanning documents and data entry
- Performed reference checks on potential new hires according to established guidelines
- Answered questions from employees about benefits eligibility, vacation time accrual rates
- Coordinated payroll processing by collecting time sheets from managers and submitting them for approval
- Researched competitive compensation packages offered by similar organizations in order to make recommendations for improvement
- Facilitated onboarding process by providing new hires with forms to complete prior to their start date
Education
Bachelor of Science - Social Work
University of Phoenix
Tempe, AZ06-2027
CERTIFIED NURSING ASSISTANT -
Career Academy
Memphis, TN11.2022
HIGH SCHOOL DIPLOMA - undefined
Southaven High School
Southaven, MS05.2016
Skills
- Medical Billing
- Medical Records
- Insurance Verification
- Typing 40 wpm
- Data Visualization
- Data Entry
- Microsoft 360
- Prior Authorization Processing
- Data Verification
- Insurance Plan Verification
- Patient Contact
- Referral Coordination
- Database Management
- Financial Counseling
- Electronic Authorization Processing
- Medical Records Verification
- Financial Clearance Management
- Customer Database Systems
- Patient Interviews
- Payment Plan Options
- Administering Medications
- Medical Condition Coding Software
- Patient Data Management Systems
- Customer Satisfaction
- Superior Communication
- Patient Information
- Microsoft Visual Basic
- Microsoft Project
- Problem Resolution
- Scheduling Software
- Prescription Refills
- Operational Efficiency
- Microsoft Word
- Patient Admission
- Microsoft Access
- HIPAA Regulations
- Data Entry Software
- Team Management
- Advanced Excel Spreadsheet Functions
- Microsoft PowerPoint
- Administrative Support
- Office Operations
- Microsoft Windows
- Electronic Medical Record Software
- Office Support
- Technical Support
- Computer Literacy
- Sorting and Labeling
- Word Processing
- Talent Recruitment
- Records Preparation
- Workforce Planning
- Team Player
- Office Administration
- Training Support
- Payroll Administration
Additional Information
Authorized to work anywhere in the US.
Timeline
Benefits Specialist
ProActive Heart & Vein Center
01.2025 - Current
PATIENT FINANCIAL ADVOCATE
First Source
05.2023 - 01.2025
INSURANCE VERIFICATION SPECIALIST
Saint Francis Hospital
07.2022 - 05.2023
MEDICAL DATA ANALYST
Christ Community Administration
11.2020 - 06.2022
HR ADMINISTRATIVE ASSISTANT
Aim Logistics
09.2017 - 10.2020
HIGH SCHOOL DIPLOMA - undefined
Southaven High School
Bachelor of Science - Social Work
University of Phoenix
CERTIFIED NURSING ASSISTANT -
Career Academy
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