Ardesha Marlon
Fort Worth,United States
Summary
Enthusiastic claim specialist examines claims, negotiates and processes settlements and verifies insurance coverage. Attentive team player consistently treats clients fairly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Grievance Appeals Specialist
Central Medical Group
07.2022 - 01.2024
- Generated, posted and attached obituary information to claim files.
- Investigating, evaluating, and settling claims between workers and managers.
- Determined appropriateness of payers to protect organization and minimize risk.
Medical Claims Processor
UAMS Hospital
01.2020 - 07.2022
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims calculations adjustments, premiums and refunds.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Home Loan Specialist
Freedom Mortgage Corporation/ US BANK
02.2018 - 01.2020
- Maintained high level of customer satisfaction by providing prompt and accurate loan status updates by telephone, written correspondence and/or various electronic media.
- Worked with underwriters to fix application problems and resolve issues.
- Proactively identified solutions for customers experiencing credit issues, while working through task driven queues & multi-tasking in a fast-paced call center environment
Education
Medical Assisting
Eastern College of Health Vocations
Little Rock, AR12.2020
High School Diploma -
Washington Academy Charter School
Texarkana, AR03.2014
Skills
- Legal Research
- Policy Knowledge
- Grievance Handling
- Issue Identification
- Strong written and verbal communication skills
- Strong critical thinking and decision-making skills
- Ability to multi-task across technical platforms
- Accountability
- Resourcefulness
- Time Management
- Skilled in microsoft
- Application Review
Certification
- RMA - Registered Medical Assistant
Timeline
Grievance Appeals Specialist
Central Medical Group
07.2022 - 01.2024
Medical Claims Processor
UAMS Hospital
01.2020 - 07.2022
Home Loan Specialist
Freedom Mortgage Corporation/ US BANK
02.2018 - 01.2020
Medical Assisting
Eastern College of Health Vocations
High School Diploma -
Washington Academy Charter School