Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lindsay Hamilton

Meridian

Summary

Professional with solid background in customer service, adept at resolving complex issues and enhancing client satisfaction. Strong emphasis on team collaboration and achieving measurable results, adaptable to changing needs. Skilled in communication, problem-solving, and conflict resolution, with focus on delivering high-quality service. Recognized for reliability and ability to foster positive relationships with both customers and colleagues.

Overview

8
8
years of professional experience

Work History

Senior Customer Service Advocate

United Healthcare
09.2022 - Current
  • Data entry
  • Outbound call to members to help complete HRA
  • Resolved customer service issues using company processes and policies and provided updates to customers.
  • Assist members with Webtech calls regarding tech support.
  • Engaged members over phone to answer questions and address complaints.
  • Escalated issues to proper supervisors when standard processes were not effective.
  • Delivered prompt service to prioritize customer needs.
  • Assist new hire class trainings.
  • Review claims and benefits.

Utilization Review Specialist

Rush Foundation Hospital
05.2021 - 08.2022
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Performed prior authorization review of services requiring notification.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Knowledge of CPT codes and ICD-10 Codes

Medical Secretary

Rush Foundation Hospital
03.2020 - 05.2021
  • Maintained current and accurate medical records for patients.
  • Maintained office supplies inventory by checking stock, anticipating department needs, and placing and expediting orders.
  • Located, checked in, and pulled medical records for patient appointments and incomplete charts.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Supported office staff and operational requirements with administrative tasks.
  • Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment, or verbal direction.
  • Kept information confidential and followed HIPAA guidelines to maintain patient trust.
  • Prioritized calls through screening process and transferred calls and recorded messages for appropriate personnel.
  • Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
  • Answered phone calls and messages for physician, medical facility, scheduling appointments, and handling patient inquiries.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Prepared and processed patient referrals and transfer requests.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Placed new supply orders, managed inventory and restocked clerical spaces.

Billing Customer Service Representative

Rush Foundation Hospital
10.2018 - 03.2020
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Maintained up-to-date knowledge of product and service changes.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Created and maintained detailed database to develop promotional sales.
  • Increased efficiency and team productivity by promoting operational best practices.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Cross-trained and provided backup support for organizational leadership.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with customers on unresolved issues.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Posted payments to accounts and maintained records.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Generated, posted and attached information to claim files.
  • Review EOBs and 1500 forms.

Newborn Hearing Screener

Natus Medical
06.2017 - 12.2018
  • Administered and interpreted electrophysiological testing for infants and children to determine hearing levels.
  • Learned and adapted quickly to new technology and software applications.
  • Applied effective time management techniques to meet tight deadlines.
  • Used medical computer-based patient record system to input daily statistics and place orders.

Education

No degree - Licensed Practical Nursing

Meridian Community College
Meridian, MS
05.2028

Medical Billing and Coding

University of Phoenix-Online Campus
Tempe, AZ
05.2024

GED - undefined

Meridian Community College
Meridian, MS
09.2016

Skills

  • Attention to detail
  • Quality assurance
  • Medical coding
  • Detail orientation
  • Multi tasking
  • Complaint resolution
  • Effective communication
  • CRM software
  • Customer support
  • Call center experience
  • Documentation review
  • Payment processing
  • Teamwork and collaboration
  • Problem-solving
  • Customer service
  • Data entry
  • Task prioritization

Timeline

Senior Customer Service Advocate

United Healthcare
09.2022 - Current

Utilization Review Specialist

Rush Foundation Hospital
05.2021 - 08.2022

Medical Secretary

Rush Foundation Hospital
03.2020 - 05.2021

Billing Customer Service Representative

Rush Foundation Hospital
10.2018 - 03.2020

Newborn Hearing Screener

Natus Medical
06.2017 - 12.2018

Medical Billing and Coding

University of Phoenix-Online Campus

GED - undefined

Meridian Community College

No degree - Licensed Practical Nursing

Meridian Community College

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Lindsay Hamilton