Charvesha Brady
Brandon,FL
Summary
Adept at enhancing client satisfaction and retention rates, my tenure at Humana showcased my ability to exceed performance targets through effective dispute resolution and critical decision-making. Leveraging expertise in ICD-10-CM coding and exceptional customer service, I've consistently improved operational efficiencies and patient experiences in healthcare settings.
Overview
6
6
years of professional experience
Work History
Medical Claims Processor
MultiPlan
Tampa, FL
10.2021 - 12.2024
- Paid or denied medical claims based upon established claims processing criteria.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Responded to correspondence from insurance companies.
Claims Research and Resolution Specialist
Humana
Tampa, FL
07.2020 - 09.2021
- Exceeded performance targets consistently by prioritizing workload effectively and managing time efficiently during periods of high call volume or complex caseloads.
- Managed high volumes of customer inquiries for efficient resolution, enhancing overall client experience.
- Researched and analyzed individual parties' positions to understand dispute background.
- Developed tailored strategies for dispute resolution, resulting in successful outcomes and increased client retention rates.
Patient Access Coordinator
Tampa General Medical Group
Tampa, FL
01.2019 - 06.2020
- Increased efficiency of daily operations by implementing electronic health record system for accurate data management.
- Greeted and assisted patients with check-in procedures.
- Delivered support to medical staff in completion of patient paperwork.
- Participated in continuous improvement initiatives, collaborating with team members to identify areas of opportunity and develop plans for enhancement.
Education
Bachelor Of Administration - Business Administration
University of South Florida
Tampa, FL06.2023
Skills
- Critical Decision-making
- ICD-10-cM coding
- Customer service
- Claim denial resolution
- Claims investigation
- Customer relations
- Documentation skills
- Policy coverage expert
- Strong empathy
- HIPAA compliance
- Patient confidentiality
- Claims processing
- Appointment scheduling
- Follow-up skills
- Payment processing
- Medical billing
- Medical coding
- Team collaboration
- Multitasking and organization
- Registration and admissions
- Electronic health records
- Relationship building
- Phone and email etiquette
- Flexible schedule
- Data entry
- Conflict resolution
- Quality assurance
Accomplishments
- Achieved Result by completing Task with accuracy and efficiency.
- Supervised team of Number staff members.
- Collaborated with team of Number in the development of Project name.
- Documented and resolved Issue which led to Results.
- Achieved Result by introducing Software for Type tasks.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
Timeline
Medical Claims Processor
MultiPlan
10.2021 - 12.2024
Claims Research and Resolution Specialist
Humana
07.2020 - 09.2021
Patient Access Coordinator
Tampa General Medical Group
01.2019 - 06.2020
Bachelor Of Administration - Business Administration
University of South Florida