Brandi Powe
Mobile,AL
Summary
Experienced Medical Claims Processor with expertise in high-volume claims, process optimization, and customer satisfaction. Adept in utilizing medical coding systems to enhance precision and efficiency. Consistently recognized for reducing errors and increasing processing speed, contributing to a 30% boost in workflow efficacy.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Claims Processor
Conduent Business Services
03.2022 - 7 2025
- Processed Humana Medicare Advantage 150 claims a week accurately.
- Reduced errors by 25% via audit protocols.
- Streamlined workflow improving efficiency by 30%.
Insurance Claims Specialist
ResultsCX
02.2019 - 03.2022
- Enhanced verification process, saving $500K/year.
- Improved customer satisfaction rate by 40%.
- Worked with claims adjusters and examiners and providers to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
Claims Analyst
Springhill Medical Center
03.2015 - 04.2019
- Analyzed 200 claims weekly for compliance.
- Cut processing time by 20% with new software.
- Conducted risk assessments reducing penalties.
Education
Medical Assistant - Medical Assistant
Capps College
Mobile, ALSkills
- Claims Processing
- Medical Coding
- Customer Service
- Data Analysis
- Risk Management
- Attention to Detail
- Time Management
- Regulatory Compliance
Accomplishments
- Implemented automated claims system reducing costs.
Certification
Licensed Insurance Sales Agent
Timeline
Medical Claims Processor
Conduent Business Services
03.2022 - 7 2025
Insurance Claims Specialist
ResultsCX
02.2019 - 03.2022
Claims Analyst
Springhill Medical Center
03.2015 - 04.2019
Medical Assistant - Medical Assistant
Capps College
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