Dezerae Little
Wadesboro,NC
Summary
Well-rounded professional backed by medical claims, call center, retail, and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.
Overview
11
11
years of professional experience
Work History
Tier 2 Benefits Specialist
Randstad
06.2024 - Current
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Checked employees' benefits enrollment for accuracy and inputted all data into CSPro.
- Coordinated and conducted employee orientations to promote understanding of coverage and options.
- Implemented open enrollment system to streamline benefits processes for employees.
- Observed strict procedures to maintain data and plan participant confidentiality.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Managed approximately 25 Outbound Calls and 50 Inbound calls per day from customers
Claims Analyst
Sagility Health
10.2022 - 06.2025
- Review claims to make sure payer specific billing requirements are met.
- Approve, pend, and deny claims and resubmit corrected claims within established deadlines.
- Accessed carrier websites for claim and eligibility information and review authorizations.
- Process payments and relayed information regarding copays, deductibles, and coinsurance.
- Processed approximately 100 Medical and Hospital Claims per day.
Customer Service Representative
Accurate Background
12.2019 - 08.2021
- Answered inbound telephone calls and delivered quality customer service.
- Conducted background checks and verified education and employment.
- Approved and denied verification of education and employment.
- Managed approximately 60 Inbound calls a day from customers
- Managed approximately 30 Incoming Chats a day from Clients
Retail Cashier/Customer Service
Trader Joe's
04.2014 - 07.2019
- Served as direct point of contact and delivered excellent customer service with a positive attitude.
- Operated cash register, scanned merchandise, accepted payments, ensured accuracy of cash drawer, stocked shelves, and kept work area clean and organized.
- Worked in a professional, team-oriented manner, followed policies, and interacted with diverse customers and staff.
Education
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Clearwater Beach, FL01.2024
High School Diploma -
Anson High School
Wadesboro, NC06-2008
Skills
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBS
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO PPO POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM HCPCS CPT)
Timeline
Tier 2 Benefits Specialist
Randstad
06.2024 - Current
Claims Analyst
Sagility Health
10.2022 - 06.2025
Customer Service Representative
Accurate Background
12.2019 - 08.2021
Retail Cashier/Customer Service
Trader Joe's
04.2014 - 07.2019
Diploma - Medical Billing and Coding
Ultimate Medical Academy
High School Diploma -
Anson High School
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