Akelia G.

Detail-oriented healthcare professional with experience in patient support, health insurance operations, and medical administration. Skilled in-patient intake, insurance verification, medical documentation, records management, prior authorizations, claims processing, data entry, CRM and EHR systems. Strong background in member and provider support, billing assistance, HIPAA compliance, and customer service, with a proven ability to maintain accuracy, confidentiality, and efficiency in fast-paced healthcare environments.

E-Commerce Customer Service Specialist - Lavazza - New York, NY

(2022-03)

• Manage high-volume customer accounts and process complex transactions while maintaining accuracy and compliance.
• Review, update, and process customer orders, returns, replacements, and billing information within SAP systems.
• Analyze account discrepancies and conduct investigations to resolve customer concerns and payment issues.
• Maintain detailed records and documentation to support operational efficiency and reporting requirements.
• Coordinate with internal departments and external partners to ensure timely resolution of service requests.
• Demonstrate strong attention to detail, data accuracy, and customer service in a fast-paced environment.

Member Services Representative - Fidelis Care - New York, NY

(2020-11 - 2022-03)

• Processed demographic updates and primary care physician changes within member records.
• Initiated pharmacy and medical authorization requests from healthcare providers.
• Reviewed billing and payment information and explained charges, benefits, and coverage details.
• Documented member interactions in Salesforce CRM while maintaining compliance standards.
• Supported members with applications for government assistance and healthcare-related programs.

Data Entry Specialist - Oscar Health - New York, NY

(2019-07 - 2019-09)

• Reviewed and processed sensitive legal and healthcare-related documentation.
• Entered and verified data accurately within databases and spreadsheets.
• Collaborated with administrative teams to ensure accurate recordkeeping and data integrity.

Medical Assistant Intern - Health Check - Brooklyn, NY

(2019-03 - 2019-07)

• Conducted patient intake and collected medical histories for physician review.
• Measured and documented vital signs and patient concerns during clinical visits.
• Maintained and organized patient charts and medical records.
• Verified insurance information to support billing and coding processes.

Client Services Representative - Fidelis Care - Queens, NY

(2016-06 - 2017-11)

• Processed insurance-related documents, claims, and member information.
• Verified insurance coverage and maintained accurate client records.
• Sorted and distributed incoming mail and correspondence.

High School Diploma - Samuel J. Tilden High School (2009)