Ty'Reana Gordon
Tampa,Florida
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
4
4
years of professional experience
Work History
Claims Analyst
Altruistic Loving Care
04.2021 - Current
- Maintained strict confidentiality with all personal data as per company guidelines.
- Identified key areas not performing well and implemented effective, new processes.
- Interacted with clients and employees, which helped cultivate positive working relationships.
- Facets Claims Processing
- Daily Production 80 to 120
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Responded to correspondence from insurance companies.
- Reviewed provider coding information to report services and verify correctness.
- Evaluated accuracy and quality of data entered into agency management system.
Customer Service Representative
Altruistic Loving Care
01.2020 - 08.2021
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with minimal wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Responded to customer requests for products, services and company information.
- Recommended products to customers, thoroughly explaining details.
Education
High School Diploma -
Chamberlain High School
Tampa, FLSkills
- Claims Review
- Employee Timesheet Processing
- Coverage Determination
- Document Workflow
- Claim Validity Determination
- Active Listening
- Past Due Balance Management
- Accounts Payable and Accounts Receivable
- Patient Data Management Systems
- Customer Service
- Telephone Etiquette
- Medical Terminology
- Critical Thinking
- Facets Processing
- Web Facets
- Electronic Claims Processing
- Electronic Health Records
Timeline
Claims Analyst
Altruistic Loving Care
04.2021 - Current
Customer Service Representative
Altruistic Loving Care
01.2020 - 08.2021
High School Diploma -
Chamberlain High School
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