DAQUICE PEARSON
Columbia
Summary
Detail-oriented and versatile professional with over six years of experience in customer service, data entry, and medical documentation. Adept at handling sensitive information, maintaining accuracy under tight deadlines, and delivering exceptional results. Strong written and oral communication skills, typing proficiency, and a reputation for reliability and professionalism. Seeking to leverage these skills in a transcription role.
Overview
12
12
years of professional experience
Work History
Provider Enrollment Specialist
AmeriHealth Caritas
07.2023 - Current
- Process provider enrollment and recredentialing applications for accuracy and compliance.
- Verify and validate provider information in accordance with state and federal guidelines.
- Communicate with providers to resolve discrepancies or request additional documentation.
- Maintain accurate and up-to-date records in internal systems while ensuring data confidentiality.
Provider Enrollment Analyst
BlueCross BlueShield of SC
02.2023 - 07.2023
- Processed and reviewed Medicare applications (initial enrollment, updates, revalidation).
- Verified documentation and eligibility, contacting providers when necessary.
- Entered accurate data into PECOS database and maintained clear communication with providers.
Customer Care Representative
City of Columbia
07.2021 - 02.2023
- Managed customer calls and emails in a fast-paced environment.
- Provided accurate information and assisted in-person and remotely.
- Prepared, filed, and mailed official documents; trained and mentored new employees.
Customer Service Advocate III
BlueCross BlueShield of SC
08.2018 - 07.2021
- Coordinated with medical directors and clinicians regarding authorization denials.
- Drafted professional correspondence and training materials.
- Developed and facilitated training sessions; supported hiring and onboarding processes.
Customer Service Advocate II
BlueCross BlueShield of SC
10.2014 - 08.2018
- Assisted clients with child support-related inquiries and escalations.
- Ensured adherence to service quality standards and quickly resolved issues.
Customer Service Representative
Xerox
05.2014 - 09.2014
- Delivered efficient customer support in a high-volume call center.
Extern
Physician Services of SC
07.2013 - 09.2013
- Processed and tracked medical claims, maintained filing systems, and utilized Allscripts.
Education
Medical Billing and Coding Certificate Program -
Virginia College
Columbia, SC09.2013
Skills
- Excellent written and verbal communication
- Fast and accurate typing
- Strong attention to detail
- Microsoft Office (Word, Excel, Access)
- Medical Terminology
- ICD-9-CM
- CPT
- HCPCS coding knowledge
- Experience with document management systems
- Strong organizational skills
- Time management skills
- Confidentiality
- HIPAA awareness
Timeline
Provider Enrollment Specialist
AmeriHealth Caritas
07.2023 - Current
Provider Enrollment Analyst
BlueCross BlueShield of SC
02.2023 - 07.2023
Customer Care Representative
City of Columbia
07.2021 - 02.2023
Customer Service Advocate III
BlueCross BlueShield of SC
08.2018 - 07.2021
Customer Service Advocate II
BlueCross BlueShield of SC
10.2014 - 08.2018
Customer Service Representative
Xerox
05.2014 - 09.2014
Extern
Physician Services of SC
07.2013 - 09.2013
Medical Billing and Coding Certificate Program -
Virginia College
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