Akeelah Hudson-Carter
Coconut Creek,FL
Summary
Results-oriented Analyst skillful in managing and breaking down large volumes of information. Proactive at heading off issues in operations, workflow and production by uncovering trends affecting business success.
Overview
16
16
years of professional experience
Work History
Data Analyst II
EMS Management & Consultants
Winston-Salem, NC
08.2023 - Current
- Leveraged SQL queries to extract, transform and load data into databases.
- Assisted with efforts to track, evaluate and report on impact of programs using multiple data sources.
- Generated reports and obtained data to develop analytics on key performance and operational metrics.
- Performed data entry, data cleaning, and data coding for analysis.
- Worked closely with management to prioritize business and information needs.
- Maintained library of model documents, templates or other reusable knowledge assets.
Provider Adminstration Analyst II/Auditor
Health System One
Fort Lauderdale, FL
07.2018 - 11.2022
- Validated results and performed quality assurance to assess accuracy of data.
- Audit provider contract modules to ensure compliance with policies and procedures.
- Audit contract entries, custom fee schedules, contract uploads all made by staff.
- 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
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
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.
Legal Assistant
Law Office Of Shapiro Fishman & Gache
Boca Raton, FL
11.2012 - 10.2013
- Publish Notice of Sales for foreclosed homes for over 20 counties in Florida
- Create bid and sale packages for submission to the clerk's office
- File Motion to resets/cancel to submit to the clerk's office
- Handle incoming mail such as invoices, proofs, etc.
- Microsoft Outlook, Lenstar, Vendorscape, RealResolution, LPS
- Scan incoming mail, publication proofs, invoices
- Maintain relationship between firm and newspapers throughout 20 Florida counties
- Maintain daily report of daily foreclosures for over 20 counties
- Input billing invoice info for each case for the cost of publication or clerk costs
- E-filed motions, Notice of Sales, assignment of bids, etc.
- Faxing, copying as necessary for the department
- Maintain sense of urgency for each case
- Maintain organization and timely manner in regards to the date of sale of the foreclosed home
Processor
Law Office Of Ellis Ged & Bodden
Boca Raton, FL
02.2011 - 02.2012
- Investigate and review PIP files for correct benefit payments from Insurance Carrier
- Process physical checks into system received from carrier
- Mail out with letter to provider checks received from carrier
- Draft and Print Complaints
- Communicate with Insurance Carriers regarding PIP benefit payments
- Process outgoing mail
- Microsoft Outlook
- Client Profiles (CP)
Office Manager
Abundant Health Chiropractic Center
Boca Raton, FL
02.2009 - 01.2011
- Maintain a 4 line switchboard
- Handle all filing, and Corporate/Personal bills
- Insurance Verification
- File insurance claims and follow up with insurance companies
- Handle all clerical duties such as Faxing, Copying, Scheduling
- Maintain a clean sterile office
- Handle daily incoming and outgoing mail
- Outbound confirmation calls to next day patients
- Maintain an organized filing and chart system
- Assist Chiropractor with Physical Therapy
- Office Inventory/Ordering
- Dictations
Education
No Degree - Business Administration
Broward College
Coconut Creek, FLHigh School Diploma -
Coconut Creek High School
Coconut Creek, FLSkills
- Continuous Improvements
- Information Organization
- Deadline Adherence
- Multiple Priorities Management
- Data Processing
- Process Improvement
- Team Leadership
- Business Operations Analysis
- Analytical Thinking
- Compliance Analysis
- Leadership
Timeline
Data Analyst II
EMS Management & Consultants
08.2023 - Current
Provider Adminstration Analyst II/Auditor
Health System One
07.2018 - 11.2022
Claims Representative/Traffic and Tolls Supervisor
Sixt Rent A Car
02.2015 - 07.2017
Claims Representative
Convergent
06.2014 - 09.2014
Legal Assistant
Law Office Of Shapiro Fishman & Gache
11.2012 - 10.2013
Processor
Law Office Of Ellis Ged & Bodden
02.2011 - 02.2012
Office Manager
Abundant Health Chiropractic Center
02.2009 - 01.2011
No Degree - Business Administration
Broward College
High School Diploma -
Coconut Creek High School
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