Summary
Overview
Work History
Education
Skills
Timeline
Generic

Artia Fogle

Lexington,SC

Summary

Dynamic Medical Claim Coordinator at Cigna Healthcare with expertise in claims processing and HIPAA regulations. Proven track record in reducing claim errors through thorough reviews and enhancing provider relations. Adept at implementing process improvements and delivering exceptional customer service, ensuring compliance and accuracy in medical record management.


Overview

17
17
years of professional experience

Work History

Medical Claim Coordinator

Cigna Healthcare
03.2024 - Current
  • Reduced claim errors by conducting thorough reviews, ensuring accuracy and compliance with regulations.
  • Evaluated provider contracts for adherence to reimbursement guidelines, thus preventing costly overpayments or denials.
  • Managed high volume of medical claims, maintaining organization and prioritization to meet deadlines consistently.
  • Collaborated with cross-functional teams to resolve complex issues and improve overall claims handling processes.
  • Assisted healthcare providers with understanding insurance company policies, leading to improved claim submission practices and reduced errors.
  • Participated in industry conferences or seminars regularly, staying informed on best practices for continuous performance improvement.
  • Provided exceptional customer service to patients during the claims process, addressing concerns promptly while remaining professional at all times.
  • Served as a liaison between insurance companies, healthcare providers, and patients to ensure accurate billing practices.
  • Maintained up-to-date knowledge of industry changes and regulations, ensuring ongoing compliance within the department''s operations.
  • Facilitated timely claim resolution for patients and providers by efficiently coordinating necessary information between parties.
  • Assisted in developing policies and procedures related to medical claims coordination for improved departmental effectiveness.

Program Coordinator

Department of Juvenile Justice
12.2019 - 03.2024
  • Provided exceptional customer service to program participants through prompt response times and attentive assistance with inquiries or concerns.
  • Enhanced program efficiency by streamlining processes and implementing innovative solutions.
  • Managed the release of information process, safeguarding sensitive patient data while adhering to legal requirements.
  • Enhanced patient care by accurately organizing and maintaining medical records and health information.
  • Trained fellow technicians on best practices for managing health information, fostering a high-performance team environment.
  • Acted as a liaison between departments, coordinating efforts to achieve efficient interdepartmental communication concerning health information management.
  • Implemented quality control measures within the department, resulting in improved accuracy rates in medical record keeping.
  • Assisted healthcare providers with timely access to accurate medical records, contributing to better patient outcomes.
  • Ensured compliance with HIPAA regulations through diligent management of confidential patient data.
  • Optimized storage solutions for physical medical records while ensuring easy retrieval when needed.
  • Reduced errors in coding diagnoses and procedures by meticulously reviewing medical records for accuracy.
  • Contributed to revenue cycle management by accurately coding services rendered for billing purposes.
  • Monitored changes in regulations and guidelines affecting medical records management, adjusting departmental policies accordingly.
  • Conducted regular audits of medical records to identify discrepancies and areas for improvement in documentation practices.
  • Led cross-functional teams during system upgrades or transitions, minimizing disruptions to daily operations.
  • Filed paperwork, sorted, and delivered mail and maintained office organization.
  • Conducted new hire orientation to verify completion of appropriate paperwork, recording information on human resources database.
  • Answered and redirected incoming phone calls for office.
  • Supported talent acquisition efforts by screening resumes, scheduling interviews, and performing reference checks for prospective candidates.
  • Organized new employee orientation schedules for new hires.

Traffic Coordinator

Husqvarna Outdoor Products
06.2008 - 07.2018
  • Provided exceptional customer service when addressing concerns or inquiries from both internal team members as well as external clients.
  • Developed a comprehensive training program for new hires on all aspects of traffic coordination duties within the organization.
  • Built project timelines, team delegation plans and provided instructions for task completion.
  • Created work schedules and project management plans organization-wide to maintain efficiency and timeliness.
  • Organized frequent meetings for team members to report and track status of material movement.
  • Coordinated broad-scale revisions to deficiencies in team productivity.
  • Disseminated information about system-wide changes eloquently and concisely.
  • Managed scheduling of shipments to meet customer expectations and reduce delays.
  • Developed training materials for new traffic coordinators, ensuring high standard of knowledge and expertise within team.
  • Collaborated with warehouse personnel to ensure seamless integration of shipping schedules into overall operations plans.
  • Continuously monitored market trends in order to identify potential challenges or opportunities within the transportation industry.
  • Implemented new software for traffic management, significantly improving accuracy of scheduling and tracking.
  • Streamlined communication between departments, ensuring all parties were informed of traffic schedules and changes.
  • Increased accuracy in forecasting shipment volumes through thorough analysis of historical data for improved planning purposes.
  • Implemented a new software system that streamlined the tracking process for faster decision-making capabilities.
  • Negotiated with suppliers to secure better rates for transportation services, contributing to cost savings for company.
  • Achieved significant reduction in wait times for loading and unloading, through meticulous planning and execution of traffic schedules.
  • Reduced transportation costs for the company by optimizing routes and negotiating better contracts with carriers.
  • Partnered closely with cross-functional teams such as finance, procurement, or logistics to ensure alignment on key objectives related to traffic coordination responsibilities.
  • Established strong relationships with vendors, enabling successful negotiation of cost-effective rates for services rendered.
  • Streamlined processes, leading to an organized and efficient traffic department.
  • Handled day-to-day shipping and receiving

Education

Associate of Applied Science - Health Science Administration And Billing &Coding

Ultimate Medical Academy
Clearwater, FL
07-2019

High School Diploma -

Bethune Bowman High School
Rowesville
05-2008

Skills

  • Organizational growth
  • Claims processing proficiency
  • Healthcare compliance
  • Process improvement strategies
  • Conflict resolution techniques
  • Medical coding expertise
  • Customer service
  • Medical record review
  • Insurance claims processing
  • Quality assurance checks
  • Thorough claims reviews
  • Insurance verification
  • HIPAA Regulations
  • Knowledgeable in Microsoft Office Suite

Timeline

Medical Claim Coordinator

Cigna Healthcare
03.2024 - Current

Program Coordinator

Department of Juvenile Justice
12.2019 - 03.2024

Traffic Coordinator

Husqvarna Outdoor Products
06.2008 - 07.2018

Associate of Applied Science - Health Science Administration And Billing &Coding

Ultimate Medical Academy

High School Diploma -

Bethune Bowman High School

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