ARAYA MYHAND
Fairburn,GA
Summary
Detail-oriented and results-driven Billing Specialist with over six years of experience in medical billing, claims reconciliation, and insurance eligibility verification. Proven expertise in processing high-volume claims, resolving billing discrepancies, and ensuring compliance with Medicaid and Medicare policies. Strong ability to collaborate with multidisciplinary teams and effectively communicate with clients to streamline financial operations, enhance billing accuracy, and provide support in personal care activities.
Overview
8
8
years of professional experience
Work History
Care Review Processor
CVS Pharmacy
Alpharetta, GA
05.2024 - Current
- Processed and reviewed clinical documentation for regulatory compliance.
- Coordinated discrepancy resolution between internal teams and medical professionals.
- Assisted in billing issue resolution and appeals processing.
Security Officer
Allied Universal Security Services
The Bronx, NY
07.2024 - 01.2026
- Monitored premises to ensure safety and security protocols were consistently followed.
- Conducted regular patrols to identify potential security risks and hazards.
- Responded promptly to incidents, ensuring appropriate measures were implemented.
- Assisted in training new security personnel on policies and procedures.
Senior Provider Relations Representative
Fidelis Care
New York, NY
12.2022 - 05.2024
- Managed provider credentialing processes ensuring regulatory compliance.
- Verified provider information including TIN, NPI, and licensing.
- Conducted provider audits and education sessions.
- Resolved credentialing-related claim discrepancies.
Restaurant Waiter
Bbqs
Brooklyn, NY
03.2018 - 11.2019
- Provided exceptional customer service in a fast-paced dining environment.
- Collaborated with kitchen staff to ensure timely order delivery and quality standards.
- Managed multiple tables efficiently, enhancing guest satisfaction through attentive service.
Education
Bachelor of Science - Biology & Health Sciences
Spelman College
Atlanta, GA05.2023
Skills
- Attention to detail
- Communication
- Time management
- Payment posting & account reconciliation
- Enrollment & eligibility verification
- Relationship building
- Healthcare regulations
- Collaboration
- Problem-solving
- Denial management & appeals resolution
- High-volume claims processing
- Customer inquiry & dispute resolution
- Regulatory compliance
Timeline
Security Officer
Allied Universal Security Services
07.2024 - 01.2026
Care Review Processor
CVS Pharmacy
05.2024 - Current
Senior Provider Relations Representative
Fidelis Care
12.2022 - 05.2024
Restaurant Waiter
Bbqs
03.2018 - 11.2019
Bachelor of Science - Biology & Health Sciences
Spelman College