QUINISHA HICKS
Columbus,GA
Summary
Detail-oriented and certified Medical Billing and Coding Specialist with over 4 years of experience in accurately coding and billing medical services in compliance with industry regulations. Proficient in ICD-10, CPT, and HCPCS coding systems, with a strong track record of reducing claim denials and maximizing revenue through meticulous data entry and thorough knowledge of billing procedures. Demonstrated ability to analyze medical records, communicate effectively with healthcare providers and insurance companies, and resolve discrepancies efficiently. Committed to maintaining confidentiality and ensuring compliance with HIPAA regulations while providing exceptional service in fast-paced healthcare environments. Seeking to leverage expertise in a dynamic role to optimize billing processes and enhance overall organizational performance. Developed strong analytical and communication skills in high-paced healthcare billing environment, focusing on resolving insurance claims and patient account discrepancies. Looking to transition into new field where these skills can drive operational efficiency and improve client satisfaction. Adept at identifying issues and implementing solutions to enhance workflow and productivity. Experienced with insurance claims follow-up and resolution. Utilizes communication and negotiation skills to expedite payments and resolve discrepancies. Knowledge of insurance protocols and regulatory compliance to maintain operational standards.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Insurance Follow-Up Representative
MEDSRV
07.2025 - Current
- Increased efficiency in resolving complex cases by maintaining strong relationships with insurance providers, facilitating clear communication and prompt issue resolution.
- Optimized workflow productivity through diligent organization and prioritization of daily tasks, resulting in swift resolution of outstanding issues.
- Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
- Safeguarded patient privacy by adhering to HIPAA guidelines when handling sensitive personal information during claim follow-up processes.
- Proactively monitored industry news and changes in healthcare regulations to ensure ongoing compliance with evolving best practices and standards within the field of insurance follow-up representation.
- Supported team members in claim follow-up efforts, contributing to overall departmental success through proactive collaboration and information sharing.
- Manage 50-100 claims per day.
CUSTOMER SERVICE REP
CONNEXUS RESOURCE GROUP
11.2022 - Current
- Deliver innovative payment processing and healthcare solutions for efficient claims and benefits. Experiencing 40-60 calls per day.
- Streamline payment processes for timely medical claims reimbursements.
- Enhance member experiences for seamless healthcare services access.
- Ensure compliance with data standards like HIPAA for secure data handling.
- Foster strong partnerships with healthcare stakeholders for process innovation.
- Implement continuous improvements for better operational efficiency.
- Provide support and training for effective use of solutions.
- Adapt services to meet market trends and evolving client needs.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Responded to customer requests for products, services, and company information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
CUSTOMER SERVICE REP
COMPASS EXPERIENCE LABS LLC
01.2023 - 05.2023
- Assist with inquiries and service requests related to lawn care for positive experiences.
- Educate customers on lawn care products and services for informed decision-making.
- Resolve complaints efficiently to ensure satisfaction and loyalty.
- Build strong, trusting relationships to encourage long-term engagement.
- Collect feedback to enhance service offerings and efficiency.
- Promote additional services and products to support sales growth.
- Collaborate with departments for smooth service delivery and issue resolution.
- Created and maintained detailed database to develop promotional sales.
- Identified and resolved discrepancies and errors in customer accounts.
- Increased efficiency and team productivity by promoting operational best practices.
DATA AND INSIGHTS ROLE
DYNATA
10.2021 - 11.2022
- Collect and analyze data from diverse panels to ensure insight quality.
- Consult with clients to tailor solutions to their research needs.
- Implement innovative methods to achieve client objectives.
- Monitor market trends, providing actionable insights for clients.
- Ensure data quality through rigorous testing and validation.
- Collaborate with analytics, tech, and client services teams.
- Seek process improvements to maintain industry leadership.
Education
Associate of Applied Science - Health Information Technology
Miller Motte College
Chattanooga, TN05-2025
No Degree - Medical Billing & Coding
Miller Motte College
Chattanooga, TN05-2024
High School Diploma -
Canyon Springs High School
Las Vegas, NV06.2012
Skills
- Medical Coding Knowledge
- Billing Procedures
- Attention to Detail
- Data Entry Skills
- HIPAA compliance
- Claims Resolution
- Epic System Proficiency
- Payor Communication
- Denial Management
Certification
- CBCS – M5C7F7N2
- 02/09/2025 - 02/09/2027
Timeline
Insurance Follow-Up Representative
MEDSRV
07.2025 - Current
CUSTOMER SERVICE REP
COMPASS EXPERIENCE LABS LLC
01.2023 - 05.2023
CUSTOMER SERVICE REP
CONNEXUS RESOURCE GROUP
11.2022 - Current
DATA AND INSIGHTS ROLE
DYNATA
10.2021 - 11.2022
Associate of Applied Science - Health Information Technology
Miller Motte College
No Degree - Medical Billing & Coding
Miller Motte College
High School Diploma -
Canyon Springs High School
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