Summary
Overview
Work History
Education
Skills
Timeline
Generic

Alexis Herrington

Fayetteville,NC

Summary

Experienced Medical Claims Examiner with 8+ years in healthcare claims processing, customer service, and data accuracy. Skilled in resolving claim discrepancies, analyzing documentation, and ensuring HIPAA compliance. Proficient in Microsoft Excel, medical terminology, and high-volume data entry. Known for investigative problem-solving and professionalism under pressure.

Overview

9
9
years of professional experience

Work History

Medical Claims Examiner

Sedgwick Claims Management
07.2022 - Current
  • Handle a high volume of daily calls, emails, and faxes from clients, ensuring efficient communication.
  • Review and verify provider coding information for accuracy and completeness.
  • Investigate and resolve denied claims to ensure timely patient payment and resolution.
  • Manage the leave administration process to include communication and coordination with employees, supervisors, payroll, and third-party vendors throughout the process.
  • Manage the accommodation request process, including consistent communication to applicable parties and timely issuance of decisions and due process rights.
  • Maintain consistent communication throughout the leave process to ensure information is shared timely manner and with employees and supervisors to facilitate a smooth and timely return to work.
  • Supported team members during periods of high workload, providing guidance on challenging cases or offering assistance when needed.

Customer Service Specialist

Best Buy
11.2021 - 06.2022
  • Handled 50-80 customer inquiries daily, resolving issues promptly to enhance satisfaction.
  • Assisted with technical support and product guidance, ensuring seamless customer experiences.
  • Collected and managed payment and contact details for efficient order processing.
  • Coordinated with technical teams to resolve complex customer issues, ensuring seamless service delivery and client satisfaction.
  • Handled escalated calls calmly, finding resolutions that satisfied both the company and the customer''s needs.

Call Center Representative

Call Experts
11.2020 - 04.2021
  • Accurately logged call details into the system, ensuring precise tracking and follow-up actions.
  • Provided empathetic support to callers, addressing their concerns and ensuring a positive experience.
  • Managed approximately 30 incoming calls, emails, and faxes per day from customers.
  • Handled escalated calls professionally, effectively resolving complex issues and ensuring client satisfaction at all times.

Goodyear Mixing Technician

Innosource, Inc.
02.2016 - 09.2020
  • Responsible for storing, counting and distribution of materials, parts, equipment, and supplies.
  • Performed inventory of raw materials and finished goods.
  • Wire Coat compound adhesion testing as received from Banbury and/or outside sources.
  • Retests for Soft/NO/Over Cures.
  • Report problems and troubleshoot issues. Coordinated with lab and production teams to ensure timely completion of compound testing, improving workflow efficiency and product quality.

Education

Bachelor of Science - Supply Chain Management

Appalachian State University
Fayetteville, NC
05-2028

Diploma - Medical Billing & Coding

Remington College-Memphis TN
Memphis, TN
08.2010

Skills

  • Experienced in medical terminology usage
  • HIPAA regulations knowledge
  • Analytical problem-solving
  • Customer engagement
  • Ethical standards

Timeline

Medical Claims Examiner

Sedgwick Claims Management
07.2022 - Current

Customer Service Specialist

Best Buy
11.2021 - 06.2022

Call Center Representative

Call Experts
11.2020 - 04.2021

Goodyear Mixing Technician

Innosource, Inc.
02.2016 - 09.2020

Diploma - Medical Billing & Coding

Remington College-Memphis TN

Bachelor of Science - Supply Chain Management

Appalachian State University

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