Charn Battle
Nashville,TN
Summary
Diligent provider enrollment analyst with strong proficiency in credential verification and data analysis. Exhibits capability in administering provider contracts and crafting analytical reports that promote strategic advancements.
Overview
12
12
years of professional experience
Work History
Provider Enrollment Analyst
Cigna
Nashville, TN
05.2019 - 09.2024
- Oversaw provider enrollment processing and maintained accurate record-keeping for data updates.
- Reviewed provider credentials via digital charts to ensure accuracy of submitted information.
- Managed addition or termination of provider contracts, confirming correct status and term dates.
- Utilized systems including QNXT, OnBase, Excel, Microsoft Word, Google, and Google Maps efficiently.
- Created detailed reports summarizing enrollment trends, performance metrics, and areas for improvement.
Senior Claim Processing Specialist
Xtend Healthcare
Nashville, Tennessee
04.2014 - 09.2018
- Reviewed and processed insurance claims for healthcare services with efficiency.
- Utilized claims processing software to track and manage claim statuses.
- Communicated promptly with patients regarding claim inquiries and payment issues.
- Researched payments, deposits, ACH, refunds, and overpayments to ensure accuracy.
- Adjudicated claim status details and gathered necessary information from policyholders or healthcare providers.
- Participated in interdepartmental meetings concerning policy changes or operational updates.
Customer Care Representative
CVS/caremark
Nashville, Tennessee
09.2012 - 10.2013
- Guided customers through prescription inquiries and medication details with precision.
- Ensured accuracy and efficiency in processing prescription orders using pharmacy software.
- Resolved customer complaints effectively, enhancing satisfaction levels.
- Addressed customer inquiries promptly via phone and email communication.
- Delivered timely service for routine questions and handled service complaints adeptly.
- Facilitated positive customer relationships during and after sales interactions.
Education
Esthetician Liscense - Beauty
Paul Mitchell The School
Hendersonville, TN02-2023
Whites Creek High School
Nashville, TN05-2008
Business Management -
Trevecca Nazarene University
Nashville, TNSkills
- Provider enrollment and credential verification
- Data analysis and statistical modeling
- Claim processing and contract management
- Healthcare compliance and quality assurance
- Customer relationship management
- Attention to detail
- Effective communication
- Problem solving and adaptability
- Performance metrics evaluation
- Software testing
References
References available upon request.
Timeline
Provider Enrollment Analyst
Cigna
05.2019 - 09.2024
Senior Claim Processing Specialist
Xtend Healthcare
04.2014 - 09.2018
Customer Care Representative
CVS/caremark
09.2012 - 10.2013
Esthetician Liscense - Beauty
Paul Mitchell The School
Whites Creek High School
Business Management -
Trevecca Nazarene University