Telecia Franklin
Stoughton
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
8
8
years of professional experience
Work History
Specialty Pharmaceutical Representative
CVS Specialty Pharmacy
12.2023 - 09.2024
- Participated in industry conferences and events, representing the company professionally while staying current on emerging trends in specialty pharmaceuticals.
- Maintained up-to-date knowledge of regulatory guidelines, ensuring compliance with all relevant laws and ethical standards when promoting our products to healthcare providers.
- Collaborated with cross-functional teams to develop targeted marketing materials that resonated with key audiences, increasing brand awareness and driving sales growth.
- Educated physicians about the clinical benefits of our products, leading to improved prescribing habits that benefited patients'' overall health outcomes.
- Assisted in managing specialty medications by tracking and monitoring patient progress throughout treatment courses.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Collected co-payments or full payments from customers.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Set up and modified patient profiles to include current medications and insurance details.
Medical Billing Specialist
American Dental
12.2020 - 07.2023
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Trained new employees on multiple medical billing programs and data entry software.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Precisely evaluated and verified benefits and eligibility
Dental Receptionist
Dentistry With A Smile
06.2020 - 12.2020
- Scheduled, rescheduled and cancelled appointments for dental patients.
- Helped patients complete necessary medical forms and documentation.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Managed office bookkeeping with insurance billing and patient payments
Call Representative
Marriott Inc
09.2016 - 03.2019
- Answered phone with friendly greeting to create positive inbound calling experience for customers.
- Handled high volume of inbound calls per shift to offer callers product and service information and generate quotes.
- Resolved complaints to satisfy customers and encourage future transactions.
- Educated customers about product terminology, features and benefits to improve sales and customer satisfaction.
- Handled over 70 calls per shift signing up new customers, retrieving customer data, presenting relevant product information and cancelling services
Education
Diploma -
Everett High School
Everett, MA06.2016
Skills
- Decision Making
- Handling Customer Complaints
- Complex Problem Solving
- Performance Management
- Claim Processing
- Motivational Leadership
- Verbal and Written Communication
- Remote Work Coordination
- Multitasking and Prioritization
- Documentation and Recordkeeping
- Customer Service Management
- Billing and Invoicing
Timeline
Specialty Pharmaceutical Representative
CVS Specialty Pharmacy
12.2023 - 09.2024
Medical Billing Specialist
American Dental
12.2020 - 07.2023
Dental Receptionist
Dentistry With A Smile
06.2020 - 12.2020
Call Representative
Marriott Inc
09.2016 - 03.2019
Diploma -
Everett High School
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