Katrina French
Oxon Hill
Summary
Personable and dedicated professional with extensive experience in Call Center, Retail, Banking, Healthcare and Administrative industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Credentialing Analyst
CareFirst
03.2022 - Current
- Conducted primary source verifications such as background checks and board certifications.
- Received and evaluated applications to look for missing and inaccurate information.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Enters, updates and maintains data from provider applications into credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.
- Prepares, issues, electronically tracks and follows-up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.
- Participates in the development and implementation of process improvements for the system-wide credentialing process; prepares reports and scoring required by regulatory and accrediting agencies, policies and standards.
- Communicates clearly with providers, their liaisons, entity Medical Staff Affairs. medical staff leadership and Administration, as needed to provide timely responses upon request on day-to-day credentialing and privileging issues as they arise.
- Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest developments to enhance understanding of various regulations and legislation of the health care industry.
- Create and execute contracts.
- Performs miscellaneous job-related duties as assigned.
Tier 2 Customer Service Representative
Zotec Partners/ Quest Diagnostics
11.2021 - Current
- Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
- Manage all billing accounts including Medicare/Medicaid, HMO and individual accounts.
- Ensure accuracy of billing information and payment, correct account balances in accordance with Medicaid disposition using Medicaid remittance advice.
- Submit and receive Medicare and Medicaid claims electronically on a daily basis.
- Utilize extensive computer skills and coding knowledge to produce and submit physical therapy and occupational therapy claims through medicaid and medicare.
- Process and research medical codes utilizing ICD-9-CM, CPT, and HCPCS.
- Monitor and work RTP and reject files on a daily basis directly in Medicare's program.
- Research and enter ICD-9 codes along with customer insurance information to enable the accurate and timely billing of laboratory services
- Assist with the billing of patient account by using ICD9, DX, and CPT codes for medical billing as requested.
- Respond to physician inquiries regarding CPT codes and cost of laboratory tests, allowing physicians to accommodate the patient financial concerns.
- Follow up on Medicare claims in DDE/CCSM working the RTP s files, denials and rejections on all bill types accounts.
- Check Medi-Cal eligibility auditing of clinical documentation and billing.
Customer Service Representative
CDC- Info/ Maximus
10.2021 - 11.2021
- Manage large amounts of inbound calls.
- Provide timely and accurate health information.
- Maintain a current understanding of CDC-Info procedures.
- Maintain appropriate documentation of phone inquires.
- Utilize database to look up and provide information.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Documented conversations with customers to track requests, problems and solutions.
- Upheld strict quality control policies and procedures during customer interactions.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
Customer Service Representative
Comcast Inc.
06.2021 - 10.2021
- Manage large amounts of inbound and outbound calls in a timely manner.
- Seize opportunities to upsell products.
- Build sustainable relationships by engaging customers.
- Meet team targets.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Educated customers on special pricing opportunities and company offerings.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Reviewed customer account information to determine current issues and potential solutions.
- Secured client retention by driving service and product benefits, features and recommendations around clients' needs.
Bank Teller
City First Bank
02.2021 - 03.2021
- Serves clients by receiving deposits and loan payments, cashing checks, issuing savings withdrawals, and recording night and mail deposits.
- Answer questions in person and on telephone and refer clients to other bank services as needed.
- Cross-sell bank products.
- Complete special request by closing accounts, taking orders for checks, completing safe-deposit box procedures, and providing special statements, copies, and referrals.
- Maintain customer confidence and protect bank operations by keeping information confidential.
- File and index client accounts.
- Responded and assisted customers with account inquiries and updates.
- Increased knowledge of banking products and services by actively participating in available training classes and workshops offered to employees.
- Adhered to strict guidelines regarding financial and customer data to avoid breaches and information misuse.
Bank Teller
SunTrust Banks Inc
08.2019 - 01.2020
- Provide account services to clients.
- Record transactions.
- Cross-sell bank products.
- Answer questions in person and via telephone.
- Comply with bank operations and security procedures.
- Make reminder calls for upcoming appointments with bankers.
- Provide administrative support by performing a variety of complex and confidential administrative duties.
- Organize and maintain electronic and hardcopy files, including photocopying, distributing documents, special mailings, etc.
- Maintained confidentiality of bank records and client information.
Dental Assistant
Children's Dental Carousel
08.2018 - 07.2019
- Assist with a variety of dental procedures.
- Monitor patients under sedation.
- Take vitals.
- Prepare charts for appointments.
- Perform sterilization.
- Inventory dental supplies.
- Dentrix/Eaglesoft.
- Manage dentist schedules by scheduling and confirming patients appointments.
- Actively maintained all patient records including personal and medical records.
- Verify insurance.
- Patient referrals.
- Organize various meetings and events seamlessly.
- Gathered and reviewed patient records, data and health history to share with dentists for quick and accurate patient assessments, diagnoses and treatment.
- Took bitewing, periapical, panoramic and occlusal X-rays and prepared for dentists to review.
Sales Associate
Express Factory Outlet
10.2016 - 06.2019
- Handle cash register.
- Greet and attend to customers needs.
- Make suggestions to customers regarding merchandise.
- Conduct monthly and yearly inventory of merchandise.
- Perform daily sales count.
- Catalogue store inventory.
- Setup floor plans.
- Maintain sales floor.
- Train junior cashiers.
- Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
- Answered incoming telephone calls to provide store, products and services information.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
Receptionist
E&E Hair Studios
01.2013 - 07.2013
- Greet clients by welcoming and directing them appropriately.
- Answer multiple phone lines and refer inquiries.
- Scheduled and confirmed appointments.
- Order supplies.
- Handle limited cash amounts.
- Coordinate travel needs for meetings, hair shows, and photo-shoots.
- Processed payments and updated accounts to reflect balance changes.
- Sorted incoming mail and directed to correct personnel each day.
Associate Cleaner
KYCKOFF Staffing Cleaning Services
01.2010 - 08.2012
- Submit payroll for employees.
- Responsible for incoming and outgoing inventory.
- Perform accounts receivable duties.
- Serve as time and attendance keeper for the office.
- Perform administrative duties for office.
- Address customer service related issues and inform leadership of outcome.
- Maintained safety protocols through safe handling of equipment and chemicals.
- Created checklists for daily stocking
Education
Certificate - Expanded Functions Dental Carousel
FORTIS COLLEGE
Landover, MD09.2018
High School Diploma -
Oxon Hill High
Oxon Hill, MD05.2012
Skills
- Report creation
- Multitasking Pro
- 50 WPM
- Courteous demeanor
- Stockroom procedures
- Technologically savvy
- Inbound and Outbound Calling
- Microsoft Office expertise
- Shipping and receiving understanding
- Retail sales customer service
- Call Center Operations
- HIPAA Compliance
- Provider Relations
- License Verification
- Clerical support
- Checking patients in and out
- Compliance Knowledge
- Adaptability
- Analytical Skills
Additional Information
Microsoft Office Applications, Outlook, Avaya, Office Machines, SAM ( System Access Management), Share Point, People-Soft, Salesforce, Net Form, Cisco, UI-Icon, Staff Tools, Adobe, Java, Hootsuite, Verint Survey, Workday, Core Media, Drupal, Django
Certification
- First Aid
- CPR
- Certified Dental Assistant
Timeline
Credentialing Analyst
CareFirst
03.2022 - Current
Tier 2 Customer Service Representative
Zotec Partners/ Quest Diagnostics
11.2021 - Current
Customer Service Representative
CDC- Info/ Maximus
10.2021 - 11.2021
Customer Service Representative
Comcast Inc.
06.2021 - 10.2021
Bank Teller
City First Bank
02.2021 - 03.2021
Bank Teller
SunTrust Banks Inc
08.2019 - 01.2020
Dental Assistant
Children's Dental Carousel
08.2018 - 07.2019
Sales Associate
Express Factory Outlet
10.2016 - 06.2019
Receptionist
E&E Hair Studios
01.2013 - 07.2013
Associate Cleaner
KYCKOFF Staffing Cleaning Services
01.2010 - 08.2012
Certificate - Expanded Functions Dental Carousel
FORTIS COLLEGE
High School Diploma -
Oxon Hill High
Similar Profiles
Tomeka AllenTomeka Allen
Utilization Management Coordinator at CareFirstUtilization Management Coordinator at CareFirst
Kisha WebsterKisha Webster
Solutions Consultant at CareFirstSolutions Consultant at CareFirst
LaTonya Y. BarnesLaTonya Y. Barnes
Technician, Procurement Operations at CareFirstTechnician, Procurement Operations at CareFirst