Elijah-Wayne Fielder

Healthcare billing professional with 7+ years of experience in healthcare, insurance, and customer service. Experienced in itemized medical bill review, CPT code research, provider negotiations, payment processing, and member support. Reviewed 40–50 medical bills daily at MultiPlan and averaged 17% weekly savings through provider negotiations. Currently pursuing CPC and CCS certifications.

Cosmetologist/Barber - Self-Employed

(2022-01)

• Maintain an active client base while managing appointments, client records, and service needs.
• Generate repeat business through client retention and referrals.

Customer Service Representative - Highmark - Remote

(2024-06 - 2025-11)

• Guided members through insurance renewals and reviewed available plan rates and coverage options as policies approached expiration.
• Researched prescription costs and identified medication alternatives covered under members' insurance plans.
• Contacted members regarding past-due or expired coverage and documented account details for payment and coverage follow-up.
• Verified member information under HIPAA requirements before discussing insurance, coverage, medication, or account details.

Customer Service Specialist - VisionWorks - Remote

(2021-03 - 2023-10)

• Supported an average of 127 customers daily, researching orders and account information to resolve questions across phone, chat, and email.
• Met an 87+ call-per-day standard while working within a four-minute call target in a high-volume remote environment.
• Researched doctor-submitted orders using internal databases, Microsoft Excel, and company systems to identify and resolve order discrepancies.
• Earned a quarterly bonus for positive customer feedback and was selected for team lead responsibilities based on performance.

Customer Service Team Lead - MultiPlan - Hybrid

(2019-06 - 2021-01)

• Reviewed 40–50 itemized medical bills daily, comparing services provided against billed CPT codes before member out-of-pocket costs were finalized.
• Researched CPT codes and recommended lower-cost alternatives during provider negotiations, contributing to an average 17% weekly savings.
• Negotiated directly with physicians, surgeons, and provider representatives to reduce billed amounts and obtain revised bills when recommendations were accepted.
• Flagged questionable or additional billed codes for adjustment or denial and escalated unresolved cases for further review.
• Earned Employee of the Month multiple times, led the team in percentage-rate performance, and advanced into team lead responsibilities.

Customer Service Specialist - TSO Optical

(2017-02 - 2019-06)

• Supported 40+ customers daily through phone, email, and web chat while resolving account and service concerns.
• Maintained customer records and documented account activity in internal systems.
• Trained new employees on company systems, procedures, and customer service expectations.

High School Diploma - Seagoville High School