Brittany D. Crumpton
Columbia
Summary
Healthcare Operations and Customer Support Professional experienced in customer service, claims processing, benefits verification, and technical troubleshooting. Delivered improved patient experiences and streamlined benefits verification processes through effective communication and multi-system navigation. Focused on supporting members, providers, and internal teams in fast-paced environments.
Overview
6
6
years of professional experience
3
3
years of post-secondary education
Work History
Benefit Verification Specialist
CareMetx (TalentBridge)
12.2025 - 01.2026
- - Verified benefits and payer order for specialty medications.
- - Ensured eligibility compliance and supported revenue recovery workflows.
- - EDI information collected to compare insurance information and claims with payor information.
- Completed work remotely from a home office.
Eligibility Analyst
North Highland (Pacer Staffing)
05.2024 - 08.2024
- - Used EDI and EHR systems to collect data accuracy and benefit eligible information to process claims on behalf of customers needs.
- - Reviewed payer order of benefits and corrected eligibility discrepancies.
- - Improved data accuracy for reporting and recovery processes.
- Remote
Express Claims Representative
Allstate Insurance
03.2023 - 11.2023
- - Managed high-volume claims with clear communication and documentation.
- - Resolved discrepancies by researching policy details and claim notes.
- Worked remotely to ensure timely communication and task completion
Customer Service Representative
Corporate Brokers (Tential)
11.2021 - 01.2022
- - Assisted clients with account updates and managed inquiries related to 401(k) plans and tax documentation.
- - Maintained data security across multiple financial systems.
- Worked remotely to support clients
UI Claims Customer Service Rep
BCForward Razor LLC (TWC)
01.2021 - 08.2021
- - Resolved escalated inquiries through comprehensive research, enhancing customer satisfaction.
- - Analyzed unemployment claims, ensuring accurate eligibility assessments.
- Worked remotely to support team objectives
Medicare/Medicaid Claims Specialist
Centene / Everise C3 & Virtual BO
09.2020 - 11.2020
- - Processed Medicare/Medicaid claims aligned with CMS regulations.
- - Corrected documentation discrepancies to support clean claim submission.
- Worked in remote environment
Customer Care Representative
BCBSSC (Kelly Services)
09.2019 - 07.2020
- - Supported members with system navigation and benefit questions.
- - Conducted eligibility checks and documentation reviews for Medicare/Medicaid.
- - Gained EDI knowledge while learning how to apply documentation and eligibility reviews for beneficial research.
- Worked in remote environment
Education
Associate of Applied Science - Business Management & Accounting
Miller-Motte Technical College
Wilmington, NC 08.2018 - 07.2021
Skills
- Benefit Verification
- Claims & Authorizations
- Claims Processing
- EHR systems
- Provider portals
- Documentation
- Technical Assistance
- Multi-System Navigation
- HIPAA Compliance
- Remote collaboration tools
- Customer Service
- De-escalation
- Compliance review
- Documentation review
- Attention to detail
- Accuracy and precision
- Healthcare regulations
- Highly skilled in EHR and EDI
Additional Early Experience
- Medical Technician
- File Clerk
- Personal Care Assistant
- Physicians Assistant (Temp)
- 20152025
- - Delivered patient care, maintained medical records, and supported clinical workflows.
Career Development & Gaps
All career gaps reflect intentional development periods used for certifications, personal growth, and professional transition planning. These intervals strengthened long-term stability and readiness for high-performing medical and insurance roles.
Timeline
Benefit Verification Specialist
CareMetx (TalentBridge)
12.2025 - 01.2026
Eligibility Analyst
North Highland (Pacer Staffing)
05.2024 - 08.2024
Express Claims Representative
Allstate Insurance
03.2023 - 11.2023
Customer Service Representative
Corporate Brokers (Tential)
11.2021 - 01.2022
UI Claims Customer Service Rep
BCForward Razor LLC (TWC)
01.2021 - 08.2021
Medicare/Medicaid Claims Specialist
Centene / Everise C3 & Virtual BO
09.2020 - 11.2020
Customer Care Representative
BCBSSC (Kelly Services)
09.2019 - 07.2020
Associate of Applied Science - Business Management & Accounting
Miller-Motte Technical College
08.2018 - 07.2021