Brandyce Dorsey
Columbus,GA
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
5
5
years of professional experience
Work History
Medical Claims Processor
Corro Health
2023.05 - 2025.01
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Utilized ICD-10, CPT, and HCPCS coding systems for precise claim submissions.
Financial Services Representative
U.S. Bank
2023.02 - 2024.05
- Provided excellent customer service, resolving issues quickly and maintaining long-term client relationships.
- Maintained up-to-date knowledge of industry regulations, trends, and best practices to provide informed advice to clients.
- Trained new team members on company procedures, systems, and best practices for delivering excellent customer service in the financial sector.
- Enhanced customer satisfaction by addressing and resolving financial inquiries in a timely manner.
- Assisted in fraud prevention efforts by closely monitoring customer accounts and reporting suspicious activity as required.
Claims Processing Specialist
Nelnet
2020.08 - 2022.12
- Contributed to departmental goals by consistently meeting or exceeding individual performance metrics for both quality and quantity of processed claims.
- Leveraged advanced software tools to quickly identify discrepancies, leading to more accurate claims decisions.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Healthcare Customer Service Representative
Conduent
2019.10 - 2020.07
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
Clearwater, FL06.2021
High School Diploma -
Hardaway High School
Columbus, GA2013-05
Skills
- Customer Service
- Claims Investigation
- Medical Billing Software
- Insurance Verification
- Inbound and Outbound Calling
- Typing Proficiency 55 wpm
- Claims Processing
- Banking Regulations
- Data Entry and Analysis
- Hipaa Compliance Knowledge
- Credit and Collections
- Time Management
Timeline
Medical Claims Processor
Corro Health
2023.05 - 2025.01
Financial Services Representative
U.S. Bank
2023.02 - 2024.05
Claims Processing Specialist
Nelnet
2020.08 - 2022.12
Healthcare Customer Service Representative
Conduent
2019.10 - 2020.07
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
High School Diploma -
Hardaway High School