Sabrina R Wallace
Jackson
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
16
16
years of professional experience
Work History
Insurance Claims Specialist
NTT DATA Services
Plano, TX
01.2025 - Current
- Analyzed insurance claims to ensure compliance with company policies and industry regulations.
- Reviewed and processed complex claims, resolving discrepancies through thorough investigation.
- Collaborated with cross-functional teams to optimize claims processing workflows and enhance customer satisfaction.
- Mentored junior staff on best practices for claims management and dispute resolution techniques.
- Trained new staff on best practices for data entry and system navigation to ensure compliance with standards.
- Processed high volumes of information efficiently, meeting daily operational deadlines consistently.
- Followed established procedures to enter and process data correctly.
- Organized, sorted, and checked input data against original documents.
Customer Service Representative
Alorica
04.2023 - 01.2025
- Greeted customers by name and displayed respectful attitude, helping develop rapport with customer base and build lasting relationships.
- Maintained knowledge of company products to provide helpful suggestions and recommendations to customers.
- Resolved customer complaints promptly and efficiently.
- Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers.
- Utilized problem-solving techniques to identify solutions for complex customer inquiries.
- Processed customer adjustments to maintain financial accounts.
- Met daily customer service quotas with a focus on quality.
- Provided exceptional customer service to ensure customer satisfaction.
- Remote
Senior Claims Reimbursement Specialist
LHI (Remedy Staffing)
02.2021 - 02.2023
- Check documentation for appropriate coding, catching errors and making revisions.
- Call insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Transcribe data to worksheets and entered data into computer to prepare documents and adjust accounts.
- Process claims for payments or forwarded to appropriate personnel for further investigations.
- Correspond with insured or agent to obtain information or inform of account status or changes.
- Organize information by using spreadsheets, databases or word processing applications.
- Handle modification and updating of policies.
- Collaborate with fellow team members to manage large volume of claims.
- 100% Remote
Medicaid Eligibility Specialist
Artech
Forth Worth, Tx
03.2020 - 02.2021
- Received payments from insurance providers, handled Medicare packages and completed immediate processing.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Conducted interviews with applicants, explaining benefits process and which programs were available.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Contract
Medical Scribe
Scribe-X
Jackson, Ms
05.2017 - 02.2020
- Took notes during patient visits and documenting them in the electronic health records system.
- Learned about the medical process and using a team approach in patient supervision and documentation.
- Worked with a supervising Physician or Doctor to complete and submit medical records.
- Communicated with patients supervising Physicians professionally.
- Completed all administrative tasks efficiently and helping the Physician take test and give out medication.
- Helped electronically prescribe medication for patients.
- User EHR system to manage patient records, always maintaining patient confidentiality according to HIPAA standards.
- Input details about patient histories, physical examinations, medications and other information into physical or electronic.
- Determined correct ICD-10 and CPT codes for use in medical record.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Captured and transcribed medical record documentation with electronic medical record applications.
Sales Associate
Walmart
Jackson, Ms
04.2015 - 01.2017
- Helped customers find specific products, answered questions and offered product advice.
- Collected payments and provided accurate change.
- Reviewed files, recordings and other documents to obtain information to respond to requests.
Sales Associate
Kroger
Jackson, Ms
06.2010 - 03.2015
- Helped customers find specific products, answered questions and offered product advice.
- Collected payments and provided accurate change.
- Reviewed files, recordings and other documents to obtain information to respond to requests.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
- Answered incoming telephone calls to provide store, products and services information.
- Engaged customers in friendly, professional dialogue to determine needs.
- Adhered to company initiatives and achieved established goals.
Education
High School Diploma -
Jim Hill High School
Jackson, Ms05-2013
Skills
- Documentation Review
- Medical Terminology
- Electronic Health Records
- Microsoft Expertise
- Claims/Collections
- Medical Service
- Customer Service
- Data Entry 60 WPM
- Sales/Upsell
- Virtual Learning
- Teams/Zoom/ Skype
- Quickbooks
- Inbound/Outbound Calling
- HIPPA
- Exceptional Recordkeeping Abilities
- Medicaid Knowledge
- Number- Savvy
- Call Center Operations
- Conflict Mediation
- High-Energy Attitude
- Claims analysis
- Claims investigation
- Teamwork and collaboration
Timeline
Insurance Claims Specialist
NTT DATA Services
01.2025 - Current
Customer Service Representative
Alorica
04.2023 - 01.2025
Senior Claims Reimbursement Specialist
LHI (Remedy Staffing)
02.2021 - 02.2023
Medicaid Eligibility Specialist
Artech
03.2020 - 02.2021
Medical Scribe
Scribe-X
05.2017 - 02.2020
Sales Associate
Walmart
04.2015 - 01.2017
Sales Associate
Kroger
06.2010 - 03.2015
High School Diploma -
Jim Hill High School