Car’Zelea Hensley
Conroe
Summary
I am a qualified and professional health insurance representative with five years plus experience in claim and appeal processing to revenue refund management and more. Strong customer service and analytical skills. Team player with an eye for detail, looking to grow within a company.
Overview
8
8
years of professional experience
Work History
A/R SPECIALIST
Tyan Medical Billing and Coding
02.2022 - Current
- Researches any error and makes necessary corrections for clean claim production and submission
- Follow up on payment errors, review posting, and calculate allowable amount before approving patient statements
- Resolves all insurance requests, inquiries, concerns, in an expedient and respectful manner
A/R SPECIALIST
Advanced Revenue Management
04.2021 - 02.2022
- Communicating with previous clients and customers to request payment and arrange payment plans
- Creating reports and balance sheets that document overall profits and losses
- Follow up on claims with different types of payors, such as Medicare, Medicaid, work comp, commercial care plans and more
REVENUE CYCLE REFUND SPECIALIST
Preventice Services
02.2019 - 04.2021
- Audit, review, and re-work medical, dental, flexible spending account, and health reimbursement account claims
- Communicate with subrogation vendors, members, providers, employer group contacts, and other callers regarding subrogation issues
- Review overpayment report to determine which shall be transferred to a collection vendor
CLIENT SERVICE LEAD
Empyrean Benefit Solutions
09.2016 - 12.2018
- Creates and manages client Open Items List, Project Plan, Open Enrollment, and all other one-time projects
- Works with Director to ensure the accurate recognition and collection of Out of Scope revenue and upsell opportunities in support of meeting the Client Service Group's revenue targets
- Directly manages aligned Business Analysts and is accountable for the performance, growth, and engagement of aligned resources
Education
HIGH SCHOOL DIPLOMA
01.2011
Skills
- Insurance Verification
- Medical Terminology
- Customer Service Skills
- Telephone Handling
- Microsoft office
- Google Workspace
- CUBS Trained
- Data Entry
- Claims
- Appeals
- Medicare/Medicaid
- Typing Skills (65 WPM)
- Team Leadership
- Organization Skill
- Analytical Skills
- Revenue Skills
- Conflict Resolution
- Medical Billing
- Account Management
Timeline
A/R SPECIALIST
Tyan Medical Billing and Coding
02.2022 - Current
A/R SPECIALIST
Advanced Revenue Management
04.2021 - 02.2022
REVENUE CYCLE REFUND SPECIALIST
Preventice Services
02.2019 - 04.2021
CLIENT SERVICE LEAD
Empyrean Benefit Solutions
09.2016 - 12.2018
HIGH SCHOOL DIPLOMA