Anya Wright
High Point,NC
Summary
Detail-oriented professional skilled in data entry, claims processing, and billing compliance. Proven ability to enhance workflows and ensure adherence to guidelines, contributing to streamlined operations and improved data integrity.
Overview
5
5
years of professional experience
Work History
Claims Administrator
6degrees Health
10.2025 - Current
- Processed incoming claims through accurate data entry into the system.
- Collaborated with colleagues to enhance data entry workflows and efficiency.
- Verified accuracy and completeness of database entries to maintain data integrity.
- Reviewed claim submissions for compliance with established guidelines.
- Responded promptly to inquiries from staff and management regarding data issues.
- Followed up on pending tasks, ensuring timely completion of claims processing.
- Worked with healthcare providers to gather essential documentation for claims.
- Entered data into company database efficiently, contributing to streamlined operations.
Enrollment & Billing Representative 3
Humana
10.2024 - 10.2025
- Processed billing inquiries efficiently across multiple communication channels.
- Resolved billing statement discrepancies with meticulous attention to detail.
- Collaborated with team members to optimize billing procedures and workflows.
- Educated clients on payment options and financial policies to ensure clarity.
- Investigated customer complaints related to billing issues for prompt resolution.
- Acted as primary contact for internal departments regarding billing matters.
- Evaluated accounts for payment compliance and initiated customer contact.
Account Supervisor
Humana
10.2023 - 10.2024
- Reviewed member compliance with company policies to maintain high standards.
- Conducted regular meetings to assess project status and respond to member needs.
- Trained staff on account management best practices to enhance efficiency.
- Updated client interaction records to track progress toward established targets.
Inbound Customer Advocate
Humana
12.2022 - 10.2023
- Facilitated resolution of member inquiries regarding health benefits and services through effective problem-solving techniques.
- Educated members on available resources to enhance service access and utilization.
- Collaborated with cross-functional teams to drive improvements in member experience initiatives.
- Trained new team members on customer service protocols and best practices for optimal performance.
- Monitored member feedback to identify trends and recommend process enhancements.
- Documented detailed notes in customer accounts for accurate follow-up and reference.
- Performed comprehensive research on inquiries to ensure complete client satisfaction.
- Engaged with providers to develop comprehensive solutions addressing member needs.
Assistant Center Operations Director
Concentra Urgent Care
07.2021 - 12.2022
- Directed daily operations to guarantee seamless patient care and efficient service delivery.
- Introduced quality control measures, maintaining high standards of patient care and compliance.
- Formulated training programs on operational protocols for staff development.
- Identified and implemented improvement opportunities to streamline operational processes.
- Ensured accurate, timely reporting of results for 50+ clients, enhancing client trust.
- Established regional operational guidelines for consistent practice across locations.
- Delegated tasks, setting clear priorities and achievable goals for staff.
Education
Healthcare Management Technology
Forsyth Technical Community College
Winston-Salem, NCMedical Assisting
Viginia College
High School Diploma -
Woodrow Wilson Senior High
Skills
- Data entry and claims processing
- Claims adjudication
- Billing compliance
- Process improvement
- Subject matter expertise
- Effective communication skills
- Problem solving abilities
- Detail-oriented
- Time management techniques
- Certified facilitation
- Training and development
- Strategic planning and leadership
Timeline
Claims Administrator
6degrees Health
10.2025 - Current
Enrollment & Billing Representative 3
Humana
10.2024 - 10.2025
Account Supervisor
Humana
10.2023 - 10.2024
Inbound Customer Advocate
Humana
12.2022 - 10.2023
Assistant Center Operations Director
Concentra Urgent Care
07.2021 - 12.2022
Healthcare Management Technology
Forsyth Technical Community College
Medical Assisting
Viginia College
High School Diploma -
Woodrow Wilson Senior High