Ambrianna Fairley
Monroe,LA
Summary
Detail-oriented and reliable healthcare and operations professional with experience in claims processing, data entry, insurance verification, and customer service. Strong ability to review documentation, resolve discrepancies, and meet productivity and accuracy standards in fast-paced environments. Seeking an Adjudication Associate role with CVS Health / Omnicare.
Overview
3
3
years of professional experience
Work History
Claims Adjuster
Progressive
03.2025 - 12.2025
- - Reviewed and processed insurance claims for accuracy and compliance
- - Verified coverage, eligibility, and supporting documentation
- - Resolved discrepancies while maintaining HIPAA compliance
- - Met productivity and quality standards
- Remote
Receptionist
Beacon Harbor Rehabilitation
12.2024 - 02.2025
- - Managed high-volume data processing and file intake
- - Corrected discrepancies and ensured compliance with procedures
- Managed multiple tasks and met time-sensitive deadlines.
- Confirmed appointments, communicated with clients, and updated client records.
- Kept reception area clean and neat to give visitors positive first impression.
Medical Assistant/Receptionist
St.Francis
03.2024 - 11.2024
- Supported documentation processes and organization of patient medical records.
- Complied with healthcare regulations while upholding confidentiality standards.
Customer Service Agent
Primerica
05.2023 - 02.2024
- - Provided account support and resolved customer inquiries
- - Verified personal and policy information accurately
- Demonstrated high attention to detail, organization and management of multiple tasks and projects simultaneously.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Education
Kinesiology
Grambling State University
High School Diploma -
Neville High School
Monroe, LA05.2023
Certificate - Medical Assistant
Louisiana Delta Community College
Monroe, LA05.2022
Skills
Claims Adjudication & Review
Insurance Verification
Medical & Pharmacy Documentation
Data Entry (High Accuracy)
HIPAA Compliance
Payment Posting
Discrepancy Resolution
Microsoft Office (Excel, Word, Outlook)
Attention to Detail
Time Management
Workers' compensation claims
Casualty and property loss
Medical coding
Legal compliance
Phlebotomy
Medical billing
First aid
Medical terminology knowledge
CPR
Languages
English
Native or Bilingual
Timeline
Claims Adjuster
Progressive
03.2025 - 12.2025
Receptionist
Beacon Harbor Rehabilitation
12.2024 - 02.2025
Medical Assistant/Receptionist
St.Francis
03.2024 - 11.2024
Customer Service Agent
Primerica
05.2023 - 02.2024
Kinesiology
Grambling State University
High School Diploma -
Neville High School
Certificate - Medical Assistant
Louisiana Delta Community College