
Chalisse Lee
@chalisselee
I resolve healthcare insurance, benefits, claims, and provider issues through high-volume customer service.
What I'm looking for
At Capital Blue Cross, I assist healthcare providers with claims, eligibility, benefits, authorizations, and billing inquiries while resolving complex issues and documenting interactions accurately.
Previously at Walgreens, I verified patient insurance eligibility and prescription benefits, resolved claim rejections and billing discrepancies, and protected confidential information under HIPAA regulations.
My healthcare contact center experience also includes WellSpan Health and Kaiser Permanente, where I scheduled appointments, managed high-volume calls, supported member eligibility and benefits inquiries, and maintained accurate account documentation.
I'm seeking a remote Customer Service Representative or Provider Services role where I can bring 10+ years of customer service, insurance verification, provider support, and compassionate problem-solving experience.
Experience
Work history, roles, and key accomplishments
Provider Services Representative
Capital Blue Cross
Apr 2025 - Jul 2026 (1 year 3 months)
Assisted healthcare providers with claims, eligibility, benefits, authorizations, and billing inquiries. Researched and resolved complex provider issues while ensuring compliance with company policies.
Insurance Verification Specialist
Walgreens
Feb 2024 - Feb 2025 (1 year)
Verified patient insurance eligibility and prescription benefits. Resolved insurance claim rejections and billing discrepancies while maintaining HIPAA compliance.
Direct Support Professional
Penn-Mar Human Services
Dec 2022 - Dec 2023 (1 year)
Supported individuals with developmental disabilities in achieving personal goals and daily independence. Assisted with daily living activities and maintained accurate documentation.
Contact Center Representative
WellSpan Health
Feb 2021 - Apr 2021 (2 months)
Responded to patient inquiries with professionalism and empathy. Scheduled appointments and coordinated communication between patients and clinical staff.
Switchboard Operator
WellSpan Health
Nov 2020 - Apr 2021 (5 months)
Managed high-volume inbound calls for a regional healthcare system. Routed calls accurately and assisted patients, visitors, and healthcare staff.
Member Service Representative
Kaiser Permanente
May 2014 - Jan 2020 (5 years 8 months)
Assisted members with eligibility, benefits, claims, billing, and account inquiries. Investigated and resolved customer concerns while maintaining high satisfaction scores.
Sales Associate
JCPenney
May 2009 - Sep 2013 (4 years 4 months)
Assisted customers with purchases and product selection. Maintained merchandise displays and store presentation.
Hostess/Server
Bob Evans Restaurants
Oct 2010 - Oct 2011 (1 year)
Greeted guests, managed seating arrangements, entered orders, and ensured a positive dining experience. Maintained cleanliness and organization in assigned work areas.
Sales Associate
Value City
Apr 2005 - Apr 2008 (3 years)
Assisted customers with purchases and product recommendations. Processed transactions and maintained attractive merchandise displays.
Education
Degrees, certifications, and relevant coursework
Northeastern High School
High School Diploma, General Studies
Completed high school education, earning a diploma.
Consolidated School of Business
Diploma, Paralegal Studies
Earned a diploma in Paralegal Studies.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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