ALEXIS HERRINGTON
Fayetteville,NC
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
Work History
Medical Claims Examiner
Sedgwick Claims Management
07.2022 - Current
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Manages and makes multiple calls whether incoming and outgoing, emails, and faxes per day from clients.
- Reviewed provider coding information to report services and verify correctness.
- Managed large volume of medical claims on daily basis.
- Monitored and updated claims status in claims processing system.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Followed up on denied claims to verify timely patient payment and resolution.
Customer Service Specialist
Best Buy
11.2021 - 06.2022
- Responsible for answering all customer questions/concerns regarding their company's products, policies, and services; those in this position work in a variety of fields, from healthcare and retail to everything in between
- Client support specialists assist customers with computer problems
- Their duties vary by company, but general responsibilities include providing technical and product support, assisting customers and clients with a variety of setups, diagnosing and solving technical problems, and providing consultations.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Took payment information and other pertinent information such as addresses and phone numbers to place orders.
- Managed approximately 50-80 incoming calls and messages from customers.
Medical Data Entry Specialist
Green Resources Medical Data
05.2021 - 08.2021
- Perform data entry tasks and navigate an electronic case management system while speaking on the phone
- Identify the correct point of contact for each doctor, hospital, or medical provider over the phone as well as successfully gain his/her cooperation for study participation
- Communicate to medical providers the importance of the survey and why their participation is valuable
- Send and confirm receipt of authorization forms to the provider before collecting data
- Conduct all data collection tasks according to approved protocols
- Identify and communicate barriers to achieving goals with appropriate supervisor(s) and try to apply new solutions to gain cooperation
- Extract and enter relevant medical and financial information into a database.
- Managed approximately 20-50 calls per day from doctor offices and medical records.
Call Center Representative
Call Experts
11.2020 - 04.2021
- Completed inbound calls daily maintaining customer satisfaction rating 93 % or higher
- Creating outstanding customer experiences
- Must be able to operate the telephone, phone/headset, keyboard/computer system accurately using the company's software
- Must be able to speak and hear clearly in order to effectively communicate with each caller
- Must be able to read English instructions for each account
- Must be on time and ready to take calls for every scheduled shift
- Must be able to efficiently type accurate messages into the system that correctly summarize callers' needs
- Must handle each account based on the instructions for that account
- Must display genuinely friendly, engaging, and helpful personality, on and off the phone
- Must understand and act in accordance with company Core Values and policies
Goodyear Mixing Technician
Innosource, Inc.
02.2016 - 09.2020
- Responsible for storing, counting and distribution of materials, parts, equipment, and supplies
- Pulled materials per requisition and order
- Responsible for receiving, issuing and maintaining accountability of supplies
- Reporting to lab manager for approval of goods
- Performed inventory of raw materials and finished goods
- Made appropriate SAP transactions according to guidelines
- Wire Coat compound adhesion testing as received from Banbury and/or outside sources
- Moisture and slurry testing
- Incoming creel and bead wire testing per working instructions
- Compounder request data
- Retests for Soft/NO/Over Cures
- Report out daily waste on TDMS meetings
- Maintain lab structure and release within timely manner
- Zap Sheets, daily work, and audits completed daily
- Attend meetings based on demand for release and stock
- Attend and help in all parts of lab setting
- Report problems and troubleshoot issues
Cashier Team Lead
Rite Aid Corporation
02.2015 - 02.2016
- Cash register responsibilities include scanning items, processing payments, applying coupons, providing change, and issuing receipts
- Customer service duties include providing product knowledge, answering customer inquiries, and handling customer complaints
- Conduct inventories; assist in inventory daily; requisition for supplies; inspect incoming shipments; and report discrepancies.
- Monitored areas for security issues and safety hazards.
- Quickly and accurately counted drawers at start and end of each shift.
- Helped customers complete purchases, locate items and join reward programs.
- Facilitated and logged store opening, closing and shift changes.
- Trained, mentored and developed new cashiers with positive and encouraging techniques to maximize performance and team contributions.
- Reconciled daily totals to maintain balanced and compliant ledgers.
- Lifted up to 50 pounds at once and used forklift to move heavier loads.
Visual Field Technician/ Patient Relations
Cape Fear Eye Associates P.A
10.2011 - 04.2014
- Analyze spreadsheet for the daily number of patients seen at the facility, verify patient information from last visit and type of testing ordered
- Pull patient chart information and perform callbacks for consultations or to schedule needed testing
- Perform visual fields such as Goldman's for QTC or varies testing, 30-2, 24-2, 10-2 for high-risk Medication patients in white and red, and FF-120 for CDL driver's license exams
- Cleaned Instruments on procedure day
- Performed Blepharoplasty Visual Fields and pictures
- Cleaned and stocked patients' rooms
- Sign off for patients received on sheet
- Provide excellent customer service.
- Adhered to safety protocols by implementing routine tests and ensuring accurate and safe equipment handling.
- Kept detailed records of field measurements and data.
Education
Associate of Science - Medical Health & Technology
Fayetteville Technical Community College
Fayetteville, NC 08.2025
Diploma - Medical Billing & Coding
Remington College-Memphis TN
Memphis, TN08.2010
Skills
- Medical Billing and Coding
- Microsoft Word/ Microsoft Excel (Beginner)
- Type 45 wpm
- Teamwork/Productivity
- Customer Data Confidentiality
- Issue and Complaint Resolution
- Verbal and Written Communication
- Multitasking and Prioritization
- Efficient and Detail-Oriented
- Proactive Self-Starter
- Telephone Etiquette
- Complex Problem-Solving
- Social Perceptiveness
- Professionalism and Ethics
- HIPAA Compliance Understanding
- Data Entry Efficiency
- Medical Terminology
- Customer Service
Timeline
Medical Claims Examiner
Sedgwick Claims Management
07.2022 - Current
Customer Service Specialist
Best Buy
11.2021 - 06.2022
Medical Data Entry Specialist
Green Resources Medical Data
05.2021 - 08.2021
Call Center Representative
Call Experts
11.2020 - 04.2021
Goodyear Mixing Technician
Innosource, Inc.
02.2016 - 09.2020
Cashier Team Lead
Rite Aid Corporation
02.2015 - 02.2016
Visual Field Technician/ Patient Relations
Cape Fear Eye Associates P.A
10.2011 - 04.2014
Associate of Science - Medical Health & Technology
Fayetteville Technical Community College
Diploma - Medical Billing & Coding
Remington College-Memphis TN