Alivia Kelly
Brandon,MS
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
15
15
years of professional experience
Work History
Customer Service Specialist
Delta Airlines
11.2014 - Current
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- 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.
- Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
Medical Claims Specialist
Park Nicollet Clinic
01.2012 - 11.2014
- Submitted electronic/paper claims documentation for timely filing.
- Monitored and updated claims status in claims processing system.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Followed up on denied claims to verify timely patient payment and resolution.
- Researched and resolved complex medical claims issues to support timely processing.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Identified and resolved discrepancies between patient information and claims data.
- Reviewed provider coding information to report services and verify correctness.
- Coordinated with contracting department to resolve payer issues.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Bank Branch Manager
Guaranty Bank
10.2008 - 01.2012
- Assessed employee performance and developed improvement plans.
- Maintained confidentiality of bank records and client information to prevent mishandling of data and potential breaches.
- Examined customer loan applications for loan approvals and denials.
- Completed filings and upheld strict compliance with regulatory agencies and supervisors.
- Interviewed and hired talented individuals with top-level strengths, improving organizational talent, and skill set.
- Enhanced branch production rates by handling staff conflicts, evaluations, hiring, and termination processes and coaching employees on company protocol and payroll operations.
- Identified partnership opportunities and established favorable business connections.
Education
No Degree - Health Information Technology
Rasmussen College
Brooklyn Park, MNSkills
- Customer Service
- Effective Written and Verbal Communication
- Complaint Reviews
- Problem Resolution
- Knowledge of HIPAA Regulations
- Microsoft Office
- Policy and Procedure
- Customer Relationship Management
- Prioritizing Workflows
- Excellent Communication Skills
- Verbal and Written Communication
- Typing and 10-Key Entry
- Excellent Team Leader
- Account Reconciliation
- Build Customer Relationships
- Scheduling and Coordinating
- Coaching and Mentoring
- Performance Metric
- Daily Reporting
- Operational Efficiency
- Policy Development and Enforcement
- Inventory Audits
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Customer Service Specialist
Delta Airlines
11.2014 - Current
Medical Claims Specialist
Park Nicollet Clinic
01.2012 - 11.2014
Bank Branch Manager
Guaranty Bank
10.2008 - 01.2012
No Degree - Health Information Technology
Rasmussen College