Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Precious Cantey

Elgin

Summary

Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Extensive experience processing health care claims and legal action settlements. Knowledge of Medicare and Medicaid law, regulations, national and local coverage rules. Dedicated to contributing to company success.


Overview

10
10
years of professional experience

Work History

Legal Assistant III

Clarkson & Hale Law Firm LLC
08.2024 - Current
  • Maintained up-to-date knowledge of legal developments and changes in law, ensuring firm's practices remained compliant and effective.
  • Inbound/Outbound Calls
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
  • Drafted accurate and persuasive legal correspondence, contributing to successful negotiations and settlements.
  • Provided excellent customer service during difficult conversations, defusing tensions while effectively collecting payments.
  • Developed strong relationships with clients, fostering trust and facilitating successful account resolutions.
  • Improved communication between attorneys and clients by scheduling meetings, providing status updates, and relaying critical information promptly.
  • Managed high-volume workload while maintaining strict attention to detail on every task such as drafting pleadings or summarizing depositions accurately.
  • Responded to client inquiries, providing accurate legal advice and offering assistance.
  • Compliance with company rules and regulations
  • Communicated pertinent information to clients via phone, email, and mail.
  • Reduced errors in court filings by meticulously proofreading documents for accuracy before submission.
  • Maintained strict confidentiality, protecting sensitive client information as required by legal ethics and regulations.
  • Handled office scheduling and made notes for deadlines, motions, and other important dates.

Store Manager

Beauty Source, LLC
07.2021 - Current
  • Responsible for Inventory, payroll, ordering and stocking supplies.
  • Excellent customer service and computer skills
  • Ability to multitask and manage a positive attitude.
  • Responsible for to- day -to- day activities and keeping up to date with products.
  • Find and maintain good relationships with different vendors.
  • Ability to travel once a month to pick up supplies.
  • Ability to maintain a calm and polite manner in stressful situations.
  • Respond promptly and professionally to incoming Provider inquiries by telephone or by email.
  • Maintain an updated knowledge of the organization's products, services, and policies.
  • Document customer interactions when necessary, compiling documents and forwarding information to interested parties.

Remote Quality Analyst/Claims Processor

SourceHov LLC Exela
11.2018 - 12.2022
  • Follow all procedures to ensure timely accurate claims review, approvals/denials and payment as required.
  • Developed and maintained quality assurance procedure documentation.
  • Adjust over payments, underpayments, and other irregularities.
  • Request all information from internal and external sources to ascertain completeness and validity of claim including coordination of benefits information.
  • Analyzes the claims to determine extent of liability and settles the claims with claimant in accordance with policy provisions.
  • Researches the claims as needed, assuring that quality levels are achieved.
  • Provides internal customer service to function areas for claim resolution.
  • Adheres to departmental policies and procedures.
  • Analyzes and answer inquiries regarding payment, copay, or deductible amounts and/or reason for denials.
  • Exceeds productivity and quality standards as they are determined by the business needs on a continuous basis.
  • Work in a safe manner and report unsafe activity.
  • Analyzed quality and performance data to support operational decision-making.

Debt Collector

Receivable Solutions
11.2018 - 10.2019
  • Inbound/Outbound Calls
  • Review and verify patient personal information are correct and accurate.
  • Answering patients billing questions
  • The ability to deal with disoriented customers and not lose control of a situation.
  • Handling collections on unpaid accounts
  • Collect payment and setup payment arrangements.
  • HIPAA Compliance
  • Provide follow up in a timely manner.

Customer Service Agent/Insurance Company

Eclaro Technology LLC
08.2015 - 10.2018
  • Knowledge of Microsoft, Excel, and PowerPoint
  • The ability to always maintain excellent customer service.
  • Process claims for adjustors and maintain accurate and updated customer accounts.
  • Add and Delete vehicles off insurance policies.
  • Assist with inbound calls only.
  • Answer product and service requests to handle and resolve complaints.
  • Processed incoming request received by phone, fax or via email.
  • Always maintained a positive attitude and motivated energy with passion.

Education

AAS - Health Science, Medical Administration

ECPI College of Technology
Columbia, SC
04.2010

Certificate - Phlebotomy

Central Carolina Technical College
Sumter, SC
09.2007

Skills

  • Management skills
  • Leadership
  • File organization
  • Client relations
  • Excellent Interpersonal skills and Phone skills
  • Online Claim Submission & Payment Processing
  • Document preparation
  • Ability to type 65 words per minute
  • Collector
  • Fast learner
  • Scheduling/Planning
  • Microsoft office

Accomplishments

  • Supervised team of 5 staff members.
  • Served as Lead Adjuster for medical claims.

Timeline

Legal Assistant III

Clarkson & Hale Law Firm LLC
08.2024 - Current

Store Manager

Beauty Source, LLC
07.2021 - Current

Remote Quality Analyst/Claims Processor

SourceHov LLC Exela
11.2018 - 12.2022

Debt Collector

Receivable Solutions
11.2018 - 10.2019

Customer Service Agent/Insurance Company

Eclaro Technology LLC
08.2015 - 10.2018

Certificate - Phlebotomy

Central Carolina Technical College

AAS - Health Science, Medical Administration

ECPI College of Technology

Similar Profiles

CREATE PROFILE
Precious Cantey