CHARDREONIA KNOTTS
Sanford,FL
Summary
Results-oriented healthcare professional with extensive experience in leadership, health insurance, and claims management. Proven track record in enhancing team performance and streamlining operations within the healthcare sector. Eager to leverage analytical skills and exceptional communication abilities to drive quality outcomes in a challenging leadership role.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Health Insurance Agent
Senior Life Insurance Company
Remote FL
02.2025 - Current
- Developed and maintained client databases to track customer service interactions and evaluate service quality.
- Used Software to process benefit transactions.
- Ensured seamless transition between policies by properly coordinating client renewals or adjustments.
- Enhanced team collaboration through consistent communication and sharing of best practices among colleagues.
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Team Lead, Benefits Re-verification
Hiergy(Caremetx)
Sanford, FL
10.2024 - 02.2025
- Lead a team of 15-20 members in processing Benefit Investigations, ensuring efficiency and accuracy in all operations
- Provide coaching and support to team members for issue resolution, significantly enhancing their ability to complete benefit investigations successfully
- Monitor team performance to ensure compliance with client service level requirements, conducting daily assessments of production and quality control
- Provided comprehensive support for technical enablement by ensuring proper computer and system setup for new agents prior to their training sessions, facilitating a smooth onboarding experience
Licensed Health Insurance Agent/ Team Lead
True Choice
Sanford, FL
12.2020 - 01.2024
- Analyzed clients’ insurance needs to design customized insurance plans, effectively selling various types of insurance policies to individuals
- Negotiated insurance terms and premiums with clients to ensure optimal coverage while staying informed on industry trends and regulatory changes
- Led team associates effectively as the acting manager for 2 years, prioritizing and delegating daily workloads while addressing team needs
- Provided coaching on CMS and Medicare systems, as well as patient sensitivities
- Utilized systems such as Sunfire Blaze, Five9, Salesforce, CMS, and various carrier websites for efficient operations
Records Retrieval Specialist/ Coding and Billing Specialist
ABI Document Support Services
Lake Mary, Florida
12.2019 - 12.2020
- Established effective communication with custodians of records to ensure timely completion of order requests through persistent follow-up, enhancing overall workflow efficiency
- Conducted quality control on incoming records, ensuring strict alignment with work order requirements to maintain service standards
- Utilized coding and billing software such as Optum360 and AdvancedMD to accurately code medical procedures and diagnoses for billing purposes, ensuring compliance with insurance requirements
- Processed insurance claims through Kareo, managing claims submissions, tracking, and follow-up to ensure timely reimbursements
Claims Analyst
Blue Cross and Blue Shield
Lake Mary
08.2017 - 12.2019
- Led insurance claims processing, mastering ICD-10, CPT, and HCPCS coding
- Collaborated with the billing department to validate charges and resolve discrepancies
- Provided comprehensive responses to inquiries regarding claims and payment denials
- Leveraged claims processing software for efficient tracking and resolution of claims, facilitating audit and compliance checks
Education
Associate in Science (A.S.) - Biology
Seminole State College
Sanford, FL01.2026
High School Diploma - US
Lake Mary High School
Lake Mary, Florida05.2016
Skills
- Team Leadership
- Process Improvement
- Medicare
- Healthcare
- Customer Service
- Medical Terminology
- Claim Processing
- Billing & Coding
- Salesforce
- Microsoft Office
- Data Analysis
- CRM
- CMS
- RCM
- Optum360
- Zendesk
Certification
- 240 Health
- 2025 AHIP Cert
Timeline
Health Insurance Agent
Senior Life Insurance Company
02.2025 - Current
Team Lead, Benefits Re-verification
Hiergy(Caremetx)
10.2024 - 02.2025
Licensed Health Insurance Agent/ Team Lead
True Choice
12.2020 - 01.2024
Records Retrieval Specialist/ Coding and Billing Specialist
ABI Document Support Services
12.2019 - 12.2020
Claims Analyst
Blue Cross and Blue Shield
08.2017 - 12.2019
Associate in Science (A.S.) - Biology
Seminole State College
High School Diploma - US
Lake Mary High School