Chonderia Garrison
Alachua,FL
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
11
11
years of professional experience
Work History
Claims Processor
UF Health Shands
03.2020 - Current
- Enhanced claim processing efficiency by implementing new software and streamlining procedures.
- Reduced claim processing time for faster customer service and improved satisfaction rates.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Identified fraudulent claims through thorough investigation and documentation of findings.
- Monitored changes in legislation that could potentially impact the way claims are processed or paid out by insurance companies.
- Utilized specialized software to process incoming claims, enter data and generate reports.
Patient Access Coordinator
UF Health Physicians
12.2018 - 03.2020
- Answer incoming calls in a timely and professional manner
- Schedules all patients for ancillary, surgical and medical testing/procedures through the applicable scheduling module.
- Select accurate insurance carrier plans and informs the patient or physician office staff of any carrier that is out of network.
- My position monitors and reviews past and present accounts, forecast requirements, and sometimes an occasional hand-off to higher-level employees
- Generates patient workload reports for validation and monitors activity in clinical areas to assure consistent and accurate reporting
- Coordinates appointments with the patient's input using a desired date by phone. Inform the physician office staff or patient of any testing requirements according to the instructions and queries in the scheduling module.
- Ensure that any edits are performed in the scheduling module
- Ensure physician orders are indexed appropriately
- Work closely with the physician office staff to ensure that pre-cert/authorization numbers are entered in the scheduling or registration system
- Select the correct patient medical record number consistently
- Maintain open communication with the registration staff regarding those unscheduled patients presenting for services to ensure appropriate testing is performed and times are available
- Utilize appropriate method/tool to communicate with Patient Access and other facility departments as necessary
- It is my responsibility to consistently treat customers, patients, and Veterans, families with respect, courtesy, and kindness
- Provide excellent customer service to patients, staff and community health care providers while handling high volume incoming phone interchange on an automatic call distribution system
Insurance Agent
Progressive
05.2013 - 12.2018
- Increased client satisfaction by providing personalized insurance solutions tailored to individual needs.
- Built strong relationships with clients through consistent communication and excellent customer service.
- Expanded client base by actively prospecting for new business opportunities and generating referrals.
- Efficiently managed policy renewals, ensuring timely processing and accurate coverage updates.
- Resolved complex claims issues, advocating on behalf of clients to ensure fair settlements.
- Participated in ongoing professional development activities, staying current with industry trends and regulatory changes affecting insurance products and services.
- Educated clients on the importance of adequate insurance coverage, fostering trust and loyalty among the existing client base.
Education
High School Diploma -
Santa Fe High School at Alachua
06.2009
Skills
- Data entry proficiency
- Medical terminology knowledge
- Insurance Regulations Understanding
- Professionalism and Ethics
- Teamwork and Collaboration
- Typing Speed
- Data Entry
- Customer Service
- Call Center Operations
- Strategy implementation
- Schedule Coordination
Timeline
Claims Processor
UF Health Shands
03.2020 - Current
Patient Access Coordinator
UF Health Physicians
12.2018 - 03.2020
Insurance Agent
Progressive
05.2013 - 12.2018
High School Diploma -
Santa Fe High School at Alachua
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