Angela Turner
Healthcare customer service and intake professional
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About
Healthcare customer service and intake professional with extensive experience in patient pre-registration, and insurance verification. Skilled in collecting and validating demographic and clinical information, explaining benefits and financial responsibility, obtaining authorizations, and coordinating services to ensure timely access to care. Recognized for clear communication, strong problem resolution, and meticulous documentation while maintaining HIPAA compliance and a patient-centered approach.
Experience
Mental Health Specialist - Louisiana Methodist Children's Home - Ruston, LA
(2022-10)
Deliver direct care services under the supervision of a therapist or a mental health professional who is responsible for each resident's active treatment plan
- Assist in transport of youth on home pass with company provided vehicle
- Ensure all house or unit residents are present and on time for all clinical activities
- Ensure agency's Behavioral Management Plan is implemented with fidelity
- Participate in treatment team meetings and communicate fully regarding the delivery of treatment services to the house or unit residents
- Maintain the structure, cleanliness and organization of the house or unit
- Interact positively with residents, their family members, fellow staff members, and all other stakeholders
Customer Service Representative / Dispatcher - Access2Care Medical Transportation Management - St. Louis, MO
(2024-03 - 2025-10)
- Assisted with all phone call information and dispatching of rides
- Organized and route trips based on schedule and location to ensure optimal performance
- Documented complaints regarding transportation and scheduling
- Established and maintained effective communication with transportation providers
- Reported and recorded all incidents to the applicable manager
- Verified and reported provider no shows or on-time performance issues
Patient Unit Representative – Customer Service Operations - Parallon Business Solutions - Irving, TX
(2019-11 - 2023-08)
- Completed pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services
- Performed electronic insurance eligibility confirmation when applicable
- Collected patient cost share and payment via phone or set up payment arrangements
- Contacted patients via phone to confirm or obtain missing demographic information
- Received and recorded payments from patients for services scheduled
- Ensured appropriate documentation is entered in standard format on patient record
Discrepancy Analyst - Parallon Business Solutions - Irving, TX
(2012-12 - 2019-11)
- Researched to identify discrepancies between billed and received amounts
- Reviewed reports to determine types of discrepancies and assigned appropriate reason codes
- Made all corrections of non-payment related discrepancies
- Placed correct contractual adjustments on accounts
- Communicated with insurance agencies regarding overpaid discrepancies
Intake Services Representative – Customer Service - Managed Health Network - Irving, TX
(2008-08 - 2012-11)
- Determined members' eligibility; explained benefits and authorization procedures
- Resolved customer service issues regarding quality assurance, provider relations and billing
- Authorized voluntary EAP services and initiated outpatient services; managed email care treatment
- Followed procedures for special accounts and submitted referrals to mental health clinicians
Service Representative/Receptionist – Customer Service - Care Entrée/Precis Inc. - Grand Prairie, TX
(2001-11 - 2008-07)
Customer Service/Accounting
- Answered in-bound calls; created, updated, and maintained customer accounts
- Contacted customers regarding billing issues and delinquent payments
- Assisted account manager with monthly reports
- Managed incoming/outgoing mail and client traffic for company of 80+ employees
Claims Processor - Care Entrée/Precis Inc. - Grand Prairie, TX
(2001-11 - 2008-07)
- Initiated and processed UB-92 and HCFA claims
- Submitted denial forms to non-participating providers and members
- Contacted providers/members regarding claims received
Benefits Service Representative – Customer Service - Blue Cross Blue Shield of South Carolina - Dallas, TX
(2000-01 - 2001-11)
- Initiated and processed insurance claims to provide customers with healthcare coverage
- Educated customers on procedures and guidelines of health claims
- Issued adjustment transactions to correct payments for insurance claims
- Created, updated, and maintained customer accounts; resolved insurance claims
- Interacted with beneficiaries, physicians, and other healthcare providers to determine liability and negotiate the best settlement for all parties
Education
High School Diploma - Grambling High School (1991)
