Summary
Overview
Work History
Education
Skills
Timeline
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Brianna Hoyt

Bolivar,MO

Summary

Dedicated and hardworking professional with 9+ years of experience in healthcare, where I built a strong foundation in medical terminology, problem-solving, and customer support. Known for being organized, collaborative, and easy to work with, I thrive in team settings and enjoy finding solutions that make processes run smoother. Over the past year, I’ve been growing my skills in web development through freelance projects, gaining hands-on experience with HTML, CSS, and JavaScript. Excited to bring both my technical skills and people-focused background into new opportunities where I can contribute to meaningful work and continue learning.

Overview

12
12
years of professional experience

Work History

Freelance

Self Employed Web
2024 - Current
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Developed responsive web applications using HTML, CSS, and JavaScript to enhance user experience.
  • Coded websites using HTML, CSS, JavaScript, and jQuery languages.

SR. Claim Benefit Specialist (Remote)

Meritain Health (An AETNA Subsidiary)
07.2020 - 07.2023
  • Responsible for a variety of tasks due daily including but not limited to; claim calculations, assigning tasks for claim analysts, in-depth reports, resolving complex claim issues, CST monitoring, CST audits, prepping auto claim files.
  • Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
  • Create and update internal processes to help production be more efficient.
  • Lead and assist on multiple department projects.
  • Aid processing claims to meet strict turn-around times. Mentored and trained new hire employees on all claim matters.
  • Use contract notes and processing manual to correctly apply group-specific classifications to claims.

Sr. Customer Service Rep (Remote)

Aetna Medicaid
10.2014 - 07.2020
  • Responsible for solving escalated claim issues for participating and non-participating providers for the IL plan.
  • Created and maintained a more effective way to document provider appeal updates.
  • Handled incoming provider calls regarding claim inquiries on various plans for Aetna Better Health.
  • Successfully completed various projects regarding complicated provider issues.
  • Consistently met timely deadlines for check tracer requests, remit request, escalated call backs, and daily reports.
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Managed customer conflicts and challenging situations by staying calm and accessing internal databases to develop strategic solutions.

BENEFITS ADMINISTRATOR

Custom Powder Systems
12.2013 - 10.2014
  • Assisted customers by answering questions, addressing concerns and providing current account information.
  • Met and exceeded performance goals to support long-term company growth and market dominance.
  • Helped plan participants by explaining benefits information to ensure educated selections.
  • Oversaw enrollment of new employees and company-wide yearly enrollment period.
  • Checked accuracy and completeness of benefits applications and documents.
  • Reviewed employee enrollments to verify accuracy, inputting information into company database.
  • Developed recommendations for improvement of organization’s personnel policies and practices.
  • Mentored newly hired employees and provided information regarding company policies and procedures.

Education

High School Diploma -

BILLINGS HIGH SCHOOL
Billings, MO
01.2010

Skills

  • Problem-Solving
  • Customer Service
  • MS Suite
  • HTML
  • CSS
  • JavaScript
  • Documentation Review
  • Organizing and Prioritizing Work
  • Critical Thinking
  • Time Management
  • Attention to Detail
  • Teamwork and Collaboration

Timeline

SR. Claim Benefit Specialist (Remote)

Meritain Health (An AETNA Subsidiary)
07.2020 - 07.2023

Sr. Customer Service Rep (Remote)

Aetna Medicaid
10.2014 - 07.2020

BENEFITS ADMINISTRATOR

Custom Powder Systems
12.2013 - 10.2014

High School Diploma -

BILLINGS HIGH SCHOOL

Freelance

Self Employed Web
2024 - Current

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Brianna Hoyt