TORIA POWELL
Cary
Summary
Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist/Customer Service Representative
Trialcard/Valeris
Morrisville, NC
11.2023 - Current
- Validated patients insurance benefits (benefits investigation), assisted with submission of prior authorizations, Denials and Appeals.
- Develop a strong knowledge of medical terminology ICD-9, ICD-10 adn CPT coding.
- Resolve billing discrepancies and provide clear explanations of policies.
- Maintain accurate electronic documentation while meeting productivity goals
- Maintained all detailed notes on all patient interactions for future references.
- Created and updated patients files with relevant PHI according to established policies and procedures.
- Verified patient insurance coverage to ensure compliance with billing requirements.
- Collaborated with healthcare providers to resolve discrepancies in patient information.
Customer Service /Histology Assistant
UNC Health
Chapel Hill, NC
10.2022 - 10.2023
- Assisted patients and providers with service-related inquiries.
- Coordinated communication between departments to improve workflow
- Delivered professional and courteous customer interactions
- Safeguarded patient confidentiality by strictly adhering to HIPAA guidelines during the handling of sensitive information.
- Prepared and processed histology specimens for microscopic examination.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Patient Advocate
Labcorp
Bronx, NY
12.2015 - 10.2022
- Served as primary contact for patients regarding lab services and testing
- Managed daily operations including scheduling, data entry, and inventory tracking
- Resolved customer concerns efficiently and professionally
- Trained new employees on customer service procedures and systems
- Ensured confidentiality of sensitive patient and client information
- Collaborated with healthcare providers to address patient inquiries and concerns.
Microbiology Laboratory Assistant
Northern Westchester Hospital Center
Mount Kisco, NY
09.2007 - 12.2015
- Verified patient information to ensure accurate service processing.
- Maintained organized records and followed quality assurance standards
- Supported team workflow through strong attention to detail
- Collected comprehensive details regarding patient's demographics, clinical history.
- Conducted microbiological tests to identify pathogens in clinical samples.
- Prepared media and reagents for various microbiological assays.
Education
High School Diploma -
Westchester Community College
Valhalla, NYCertified Medical Assistant - undefined
Mandl School, The College of Allied Health
New York, NYSkills
- Remote customer support
- High-volume call handling
- Insurance verification & claims support
- Conflict resolution
- Data entry & CRM systems
- Documentation & record accuracy
- HIPAA compliance
- Multitasking in fast-paced environments
- Claims processing
- Medicare/Medicaid verification
Certification
- CPR & First Aid Certified
- Medical Assistant Certificate
Timeline
Insurance Verification Specialist/Customer Service Representative
Trialcard/Valeris
11.2023 - Current
Customer Service /Histology Assistant
UNC Health
10.2022 - 10.2023
Patient Advocate
Labcorp
12.2015 - 10.2022
Microbiology Laboratory Assistant
Northern Westchester Hospital Center
09.2007 - 12.2015
Certified Medical Assistant - undefined
Mandl School, The College of Allied Health
High School Diploma -
Westchester Community College