Alecia Hampton
Tyler,TX
Summary
Seeking a position with a company where I can utilize my personal communication, leadership and critical thinking skills. I'm a claims analyst with deep knowledge of claims industry. Solid abilities in developing objectives and strategies to settle claims. Excellent skills compiling, coding, categorizing and auditing information to process claims.
Overview
22
22
years of professional experience
Work History
Claim Analyst
Centene Corporation
05.2016 - Current
- Review all medical/surgical claims (billings) for reasonable and necessary charges (Medical Office)
- Provides second review of claims (bills) on which providers question the appropriateness of payments authorized
- Work medical EOB's for the insurance Blue Cross Blue Shield, Humana, Athena, Cigna, Medicare
- Medicaid, and etc for Mississippi, Florida, Texas, and Marketplace
- Make sure all claims are received within the timely guidelines by the provider
- Read member medical records for claims and review all documentation
- Meet production requirements
- Review and request authorizations and letters of medical necessity
- Always be professional and work as a team.
Sales Rep/Loan Processor
Texas Car Title and Pay Day Loans
10.2012 - 05.2016
- Effectively communicates the benefits of company products and programs during inbound and outbound sales opportunities
- Ensures loan applications are complete, accurate and verified to maintain proper customer files
- Explains contracts to customers thoroughly and ensures all necessary documents are completed and signed by both parties to meet federal, state and local requirements
- Produces consistent customer growth through effective training and inspection of lending and account management practices, with an emphasis on customer retention
- Inspects customer files monthly to ensure compliance with federal, state and local requirements
- Process payday and title loans
- Make collection/courtesy calls
- Answer a multi-line phone system
- Handle complaints and disputes
- File paperwork accurately and efficiently
- Take payments from customers and process the payment accurately
- Balance the register at the close of business and make daily deposits
Cashier/Customer Service Rep
Office Depot
04.2009 - 12.2012
- Assisted customers with questions and concerns
- Maintained a cash drawer with 99% accuracy rate
- Print discount signs and place on the specific products
- Returned merchandise to shelves due to customers returning or not wanting the merchandise
- Maintained and kept my workstation organized daily
Human Resource/Office Manager
Sears
05.2001 - 10.2012
- Completed weekly payroll which included direct deposits for all employees
- Maintained a record of employee absences and tardiness
- Scheduled and conducted interviews with potential candidates
- Responsible for hiring new employee and conducted new employee orientation
- Completed employee work schedules weekly
- Prepared new employee paperwork and confirmed that it's completed correctly
- Filed paperwork from the daily deposits, write-ups on employees and all other documentation that pertained to an employee
- Recruited and staffed for the store
- Used my organizational skills to conduct departmental planning meetings
- Made sure employee onboarding, development, assessment needs and training was met and completed timely
- Paid attention to detail and accuracy regarding time and organizational management
- Multi-tasked and used customer service skills to de-escalate disagreements between customers and our staff
- Knowledge of word processing and spreadsheet applications
- Knowledge of federal employment laws
- Communicated both orally and in writing
- Possess a strong ethical foundation.
Education
No Degree - Education
Tyler Junior College
Tyler, TXNo Degree - Education
University of Texas At Tyler
Tyler, TXNo Degree - Education
Texas A&M University - Commerce
Commerce, TXHigh School Diploma -
Winona High School
Winona, TX06.2001
Skills
- Medical office experience
- Review and process medical/surgical claims
- Strong organizational, customer service, and social interaction skills
- Over 15 years in customer service experience
- Excellent oral, written and interpersonal communication skills
- Ability to work as a team player and maintain accuracy to ensure error-free transactions
- Experience in cash handling and basic office skills
- Excellent in Microsoft Word, Microsoft PowerPoint and Microsoft Excel
Timeline
Claim Analyst
Centene Corporation
05.2016 - Current
Sales Rep/Loan Processor
Texas Car Title and Pay Day Loans
10.2012 - 05.2016
Cashier/Customer Service Rep
Office Depot
04.2009 - 12.2012
Human Resource/Office Manager
Sears
05.2001 - 10.2012
No Degree - Education
Tyler Junior College
No Degree - Education
University of Texas At Tyler
No Degree - Education
Texas A&M University - Commerce
High School Diploma -
Winona High School