BIANCA AVANT
Riverview,FL
Summary
Dynamic and results-oriented professional with extensive experience in claims processing and billing. Excelled in roles requiring strong organizational skills and adaptability, significantly improving claims resolution efficiency. Proficient in Microsoft Office and multiple claims processing systems. Demonstrating a proven track record of problem-solving and enhancing operational workflows.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Billing Specialist
UnitedHealth Group
07.2023 - Current
- Research and obtain the necessary information needed for the Patient Financial Services (PFS) department.
- Follow up on denials and payments where applicable.
- Submit appeals and corrected claims within the appropriate, timely filing time frame.
- Apply proper write-offs, and escalate to the collections agency when necessary.
Claims Processing Representative 2
Humana Inc
04.2021 - 07.2023
- Followed standard policies, practices, and quality standards under minimal direction.
- Processed a high volume of claims on a daily basis using established time frames.
- Examined claims, records and procedures to grant approval of coverage.
- Researched claim denials and appeals to determine appropriate resolution.
Data Entry Specialist
CarePath Diagnostics
Tampa, USA
09.2019 - 04.2021
- Performed a wide variety of clerical and administrative duties.
- Counted inventory, resolved discrepancies and completed paperwork to keep system accurate and current.
- Prepare laboratory specimens for analysis and testing.
- Accurately identify and label specimens, pack, and ship specimens to proper testing facilities, and resolve and document any problem specimens.
Claims Adjuster
Progressive Auto Insurance
Tampa, USA
07.2017 - 08.2019
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Interpreted insurance policy language to apply appropriate coverage.
- Identify and analyze wage loss expenses, and document them for payment consideration.
- Perform investigations to understand correlations between medical records, motor vehicle accidents, injuries, or medical conditions.
Claims Processing Specialist
Cognizant Technologies Solutions
Tampa, FL
05.2016 - 07.2017
- Provided guidance, support, and training to junior staff members.
- Prepared reports on the team's quality review performance for senior management review, providing feedback as needed.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Identified trends related to denials, rejections, delays in payment.
Education
Project Management Certification -
Google Coursera
Remote02-2025
HIGH SCHOOL DIPLOMA -
TAMPA BAY TECHNICAL HIGH SCHOOL
Tampa, FL05-2010
Skills
- Adaptable
- Strong organizational skills
- Claims
- Problem solving
- Medical terminology
- Microsoft Office products
- ClaimStation
- Facets
- Mitchell DecisionPoint
- Quadax
Certification
06-20 All Lines License, FL 07/2017
Timeline
Billing Specialist
UnitedHealth Group
07.2023 - Current
Claims Processing Representative 2
Humana Inc
04.2021 - 07.2023
Data Entry Specialist
CarePath Diagnostics
09.2019 - 04.2021
Claims Adjuster
Progressive Auto Insurance
07.2017 - 08.2019
Claims Processing Specialist
Cognizant Technologies Solutions
05.2016 - 07.2017
Project Management Certification -
Google Coursera
HIGH SCHOOL DIPLOMA -
TAMPA BAY TECHNICAL HIGH SCHOOL
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