Makayla McAllister
Normal,IL
Summary
Detail-oriented and results-driven professional with extensive experience in healthcare customer service, claims processing, medical billing, and call center operations. Skilled in handling high call volumes, resolving complex customer inquiries, and processing long-term and short-term care claims independently with minimal supervision. Committed to accuracy, professionalism, and exceptional service in all aspects of claims management and customer support.
Overview
6
6
years of professional experience
Work History
Healthcare Customer Service Representative
Results Companies
03.2024 - Current
- Provide exceptional customer service to patients and healthcare providers, addressing inquiries regarding appointments, insurance coverage, billing, and medical procedures in a timely and empathetic manner.
- Schedule and confirm patient appointments, ensuring accuracy, and timely communication.
- Verify insurance information, process claims, and resolve billing discrepancies to enhance patient satisfaction, and streamline operations.
- Maintain accurate and detailed patient records in the electronic health record (EHR) system to ensure compliance and efficiency.
- Process insurance claims, billing inquiries, and medical referrals, ensuring accuracy and clarity in all transactions.
- Independently handle long-term and short-term care claims, resolving issues efficiently while working under minimal supervision.
Medical Billing Specialist
Aspirations for Independent Living
Cape Girardeau, Missouri
11.2021 - 03.2024
- Processed approximately 30 medical claims daily, ensuring accurate and timely submission of required documentation to insurance providers.
- Reviewed and verified patient insurance information, confirming coverage, and billing details for accurate claim processing.
- Posted payments and managed accounts receivable, ensuring timely reimbursement for services rendered.
- Maintained accurate billing records, ensuring compliance with HIPAA regulations in all documentation and patient interactions.
- Developed strong professional rapport with vendors and clients.
Claims Processor
Family Matters
New Madrid, Missouri
06.2020 - 11.2021
- Reviewed, processed, and adjudicated insurance claims while ensuring compliance with company policies and industry regulations.
- Verified claim details, including policyholder information, coverage, and eligibility, to maintain accuracy and completeness.
- Investigated claims by analyzing supporting documents, such as medical records, bills, photos and receipts, to determine validity and claim extent.
- Managed 1099 forms for applicable claims and updated claim information as needed to reflect policy changes, adjustments, and resolutions.
- Processed claim payments and issued benefit statements, ensuring accurate updates to client accounts.
- Processed a high volume of incoming claims in accordance with established policies and procedures.
- Provided training and guidance to new claims processors on department procedures.
Call Center Representative
NARS
Cape Girardeau, Missouri
06.2019 - 06.2020
- Handled high call volumed calls while delivering exceptional customer support and maintaining professionalism under pressure.
- Efficiently navigated multiple software systems to enhance call handling, reducing customer wait times, and improving overall service efficiency.
- Maintained detailed records of customer interactions, streamlining communication efforts between various departments.
Education
High School Diploma -
Cairo Jr/Sr High School
Cairo 08.2025 - 05.2019
Skills
- Customer service
Claims review/processing
- Insurance verification
- Appointment scheduling
- Team collaboration
- Adaptability and flexibility
- Accuracy and precision
Timeline
High School Diploma -
Cairo Jr/Sr High School
08.2025 - 05.2019
Healthcare Customer Service Representative
Results Companies
03.2024 - Current
Medical Billing Specialist
Aspirations for Independent Living
11.2021 - 03.2024
Claims Processor
Family Matters
06.2020 - 11.2021
Call Center Representative
NARS
06.2019 - 06.2020
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