Akeelah Hudson-Carter
Coconut Creek,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
Work History
Provider Adminstration Analyst II
Health System One
Fort Lauderdale, FL
07.2018 - Current
- Accurately input provider demographics into GDS for credentialing and claims processing.
- Maintain and apply knowledge of provider contracts/fee schedules for entries into the database for claims processing.
- Work and maintain call log inventory based on urgency.
- Answering inbound call inquiries in regards to claims payments/denials.
- Maintain knowledge of claim policies and processing for claim edits/customer service calls.
- Previously a Clerical Service Analyst, accurate and timely handling and processing the claims submitted via mail.
Claims Representative/Traffic and Tolls Supervisor
Sixt Rent A Car
Fort Lauderdale, FL
02.2015 - 07.2017
- Interviewed policyholders to verify information and obtain additional details.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Checked level and type of coverage and evaluated contracts.
- Processed and recorded new policies and claims.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Claims Representative
Convergent
Boca Raton, FL
06.2014 - 09.2014
- Review medical claims for improper payments from insurance companies.
- Contact insurance companies to breakdown claim processing and payments.
- Draft and mail out patient/insurance letters to resolve any issues with claims.
- File appeals on insurance’s decision to deny or underpay medical claims from the hospital.
- Knowledge of insurance plans, deductibles, co-pay, co-insurance, etc.
Education
No Degree - Business Administration
Broward College
Coconut Creek, FLHigh School Diploma -
Coconut Creek High School
Coconut Creek, FL05.2005
Skills
- Continuous Improvements
- Information Organization
- Deadline Adherence
- Multiple Priorities Management
- Data Processing
- Process Improvement
Timeline
Provider Adminstration Analyst II
Health System One
07.2018 - Current
Claims Representative/Traffic and Tolls Supervisor
Sixt Rent A Car
02.2015 - 07.2017
Claims Representative
Convergent
06.2014 - 09.2014
No Degree - Business Administration
Broward College
High School Diploma -
Coconut Creek High School
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