Chrisonda Wright
McDonough,GA
Summary
Detail-oriented healthcare professional skilled in managing confidential information, high-volume data, patient accounts, and electronic healthcare systems within remote environments. Expertise in prioritizing responsibilities, troubleshooting issues, and meeting deadlines while maintaining productivity and accuracy. Communicates effectively with patients, insurance representatives, and internal teams.
Overview
6
6
years of professional experience
Work History
Remote Medical Billing & Claims Specialist
CareConnect
Richland, Georgia
04.2022 - 08.2025
- Processed insurance claims for diverse healthcare services, ensuring compliance with regulations and accuracy in documentation.
- Reviewed and analyzed insurance claims for validity, completeness, and eligibility, contributing to timely payments and reduced discrepancies.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Evaluated financial information provided by claimants in order to process payments quickly and accurately.
- Processed payments for valid claims according to established procedures.
- Coordinated with healthcare providers to resolve claim discrepancies promptly.
- Communicated with clients to gather necessary documentation and information.
- Advised clients on claims procedures and provided support throughout the process.
- Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
- Maintained detailed records of claim activities, facilitating clear communication and follow-up with claimants and representatives.
- Collaborated with cross-functional teams to improve operational workflows.
- Collaborated with other departments within the organization to resolve issues related to claims processing.
- Communicated with other departments to establish action plans and manage open claims to closure.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
- Assisted in training new team members on claims processing procedures.
- Compiled data from multiple sources for reporting purposes.
- Performed periodic audits of closed files to ensure accuracy of documentation and compliance with regulations.
Remote Healthcare Customer Service /Lead Patient Access Specialist
CareConnect
Richland, Georgia
01.2020 - 03.2021
- Led team in resolving customer inquiries and complaints efficiently.
- Resolved escalated issues from team members or customers in an efficient manner.
- Directed customer service staff activities, including training, coaching and performance management.
- Trained new staff on customer service protocols and systems.
- Trained new team members on proper service methods and evaluated service delivery using quality assurance program.
- Coached, monitored and motivated new agents to boost performance and enhance job knowledge.
- Monitored service quality to ensure compliance with company standards.
- Managed scheduling and workflow for customer service representatives.
- Collaborated with management to develop service improvement initiatives.
- Assisted customers with product information and troubleshooting issues.
- Maintained accurate records of customer interactions and feedback.
- Participated in regular meetings with senior management team to discuss progress of projects and initiatives related to customer service operations.
Analyst, Outreach Coordinator
CVS Healthcare
Alpharetta, Georgia
06.2019 - 01.2020
- Analyzed healthcare data to identify trends and support decision-making processes.
- Developed reports using advanced analytical tools to present findings clearly.
- Analyzed large datasets with statistical methods and software programs.
- Analyzed key performance indicators to identify effective strategies.
- Streamlined processes by evaluating existing workflows and suggesting improvements for efficiency.
- Created plans to propose solutions to problems related to efficiency, costs or profits.
- Provided training and mentorship to junior analysts on best practices and methodologies.
- Created presentations for stakeholders, summarizing key insights and recommendations effectively.
- Collaborated with cross-functional teams to improve operational efficiency in healthcare services.
- Assisted in the implementation of new systems for data management and reporting accuracy.
- Conducted market research to support strategic initiatives and business development efforts.
- Wrote and submitted reports on industry trends, prompting managers to develop business plans.
- Recognized and addressed customer requirements swiftly to enhance satisfaction.
- Evaluated needs of departments and delegated tasks to optimize overall production.
Education
Bachelor of Arts - Psychology
Southern New Hampshire University
Hooksett, NH05-2031
High School Diploma -
Woodland High School
Stockbridge, GA05-2017
Skills
- Claims processing
- Medical Billing
- Claims negotiation
- Insurance Verification
- Payment posting
- Healthcare Terminology
- HIPAA compliance
- Medical Records
- EHR systems
- Data analysis
- Report generation
- Microsoft Excel
- Microsoft Office
- Documentation review
- Accounts Receivable
- Time management
- Research and problem solving
Timeline
Remote Medical Billing & Claims Specialist
CareConnect
04.2022 - 08.2025
Remote Healthcare Customer Service /Lead Patient Access Specialist
CareConnect
01.2020 - 03.2021
Analyst, Outreach Coordinator
CVS Healthcare
06.2019 - 01.2020
Bachelor of Arts - Psychology
Southern New Hampshire University
High School Diploma -
Woodland High School