Bailey Keene
Elevance Health, Inc
Whiteland,IN
1
Certification
9
years of professional experience
Detail-oriented operations expert with a solid record in HIPAA compliance, insurance claims processing, and customer service. Recognized for improving workflows, supporting cross-functional teams, and handling complex member issues with accuracy. Focused on efficient resolution, team collaboration, and consistent service quality.
Work History
Operations Expert
5 Years 3 Months- Analyzed process gaps and implemented workflow improvements to reduce recurring operational errors.
- Streamlined operational workflows to improve case handling accuracy and turnaround consistency.
- Monitored daily queue activity to prioritize urgent requests and maintain service standards.
- Mentored staff on system navigation, policy interpretation, and workflow expectations.
Customer Care Representative
3 Years 3 Months- Resolved member inquiries regarding benefits, eligibility, claims, and coverage with accurate, empathetic communication.
- Documented customer interactions in CRM systems, ensuring complete records and compliant case tracking.
- Interpreted health plan information to explain procedures, authorizations, and escalation options clearly.
- Coordinated issue resolution across internal departments to support timely follow-up and service continuity.
Education
Bachelor of Science - Health Information Management
Medical Billing And Coding
Skills
Insurance claims processing
HIPAA compliance
Medical terminology
Claims adjudication
Typing efficiency
Fast typing speed
Self motivated
Certification
- CPC-A, AAPC
- Certified Billing and Coding Specialist (CBCS), NHA
Timeline
Operations Expert
Elevance Health, Inc
07.2021 - CurrentRead More
Customer Care Representative
Elevance Health, Inc
04.2018 - 07.2021Read More
Purdue University Global
Bachelor of Science from Health Information Management
Read More
Purdue University Global
Medical Billing And Coding
Read More