Callie Clark
Grant,AL
Summary
Highly motivated and dedicated professional with 7 years of experience in customer service, insurance and claims. Committed to delivering exceptional service and eager to advance in all areas if my career.
Overview
6
6
years of professional experience
Work History
Claims Specialist
Superior Roofing Solutions, LLC
Guntersville, AL
07.2023 - Current
- Manage and maintain an accurate claims database, ensuring all claim information is properly documented and updated in a timely manner
- Identify and resolve any discrepancies or issues in claims documentation in a timely manner to avoid delays in processing and payment.
- Collaborate with insurance adjusters to gather necessary documentation and information for claim processing
- Provide exceptional customer service to clients throughout the claims process, ensuring their needs are met and any concerns are addressed promptly and professionally.
- Collaborate with the roofing team to assess damage and determine the scope of work required for each claim Develop and maintain strong relationships with insurance adjusters and third-party providers to ensure smooth claim processing and expedited payment.
- Conduct thorough investigations to determine the validity of claims and prevent fraud
Physician Scheduler
Huntsville Hospital Heart Center
Huntsville, AL
07.2021 - Current
- Coordinated patient appointments and managed physicians schedules to optimize clinic efficiency.
- Communicated with patients to confirm appointments, address inquiries, and ensure a positive experience
- Maintained accurate patient records and facilitated the flow of information between staff and healthcare providers
- Assisted in medical documentation, maintained confidentiality, and streamlined communication between the doctor and staff.
- Handled patient inquiries and correspondence, fostering strong relationships and enhancing patient satisfaction.
- Implemented efficient filing systems to enhance accessibility and streamline information retrieval.
Insurance Verification Specialist
The Orthopedic Center
Huntsville, AL
02.2020 - 07.2021
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Accurately documented insurance details in electronic health record systems, reducing delays in billing processes
- Provided excellent customer service by clearly communicating coverage information and addressing patient inquiries regarding benefits and co-pays.
Store Manager
Ornament Workshop
Huntsville, AL
09.2019 - 01.2020
- Oversaw daily operations of a retail store specializing in handcrafted ornaments, ensuring high-quality customer experiences .
- Conducted daily store operations, including opening and closing procedures and cash handling.
- Monitored inventory levels and placed orders to restock shelves.
- Established customer service standards and monitored staff compliance.
- Created weekly work schedules for store personnel.
- Maintained accurate records of employee performance reviews.
Key Sales Associate
Piercing Pagoda of Zale
Huntsville , AL
06.2018 - 11.2019
- Provided excellent customer service by greeting customers, answering questions, and responding to requests.
- Assisted in merchandising and display of products to maximize sales potential.
- Maintained knowledge of current sales and promotions, policies regarding payment and exchanges, and security practices.
- Operated the cash register accurately and efficiently while adhering to all company policies and procedures.
- Suggested additional items that complimented customer purchases.
- Assist with visual presentations, signage placements, etc. as directed
Education
Hazel Green High School
Hazel Green, AL05-2017
Calhoun Community College
Huntsville, AL 05-2018
Skills
- Team Work
- Leadership
- Insurance Claims
- Insurance Verification
- Analytical skills
- Database Management
- Client Relationship Management
- Organizational Skills
- Customer Service
- Communication
- Time management
- Social Skills
- Management
- Attention to Detail
- Multi - tasking
References
- Grace Shelton (803)477-6592
- Lindsey Johnson, CRNP. (256)617-1689
- Dr. Alex Vasquez (256)656-9046
Timeline
Claims Specialist
Superior Roofing Solutions, LLC
07.2023 - Current
Physician Scheduler
Huntsville Hospital Heart Center
07.2021 - Current
Insurance Verification Specialist
The Orthopedic Center
02.2020 - 07.2021
Store Manager
Ornament Workshop
09.2019 - 01.2020
Key Sales Associate
Piercing Pagoda of Zale
06.2018 - 11.2019
Hazel Green High School
Calhoun Community College
Similar Profiles
Omar BehenaOmar Behena
Construction Worker at Superior Roofing LLCConstruction Worker at Superior Roofing LLC
Colton KleindlColton Kleindl
Heavy Equipment Mechanic at Superior Equipment Solutions LlcHeavy Equipment Mechanic at Superior Equipment Solutions Llc
Sherlyn BellSherlyn Bell
Crendentialing Specialist at Superior Billing Solutions LLCCrendentialing Specialist at Superior Billing Solutions LLC