Cody Raleigh
Springfield,OH
Summary
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Claims Specialist Manager
JND Legal Administration
06.2018 - 10.2023
- Hire, supervised and train a team ensuring they meet performance goals and deadlines.
- Maintain compliance with all applicable regulations and guidelines: Stay updated on and ensure adherence to state and federal healthcare regulations and internal compliance policies.
- Build and maintain strong relationships with key partners: Collaborate with providers to ensure complete and accurate documentation, and negotiate to resolve any issues.
- Attend conferences, workshops and training sessions to remain updated on changes in the industry and make changes as needed to maintain peak efficiency.
- Develop and implement efficient workflow and processes for claim review and processing.
- Delegate tasks and projects effectively to optimize team performance
- Develop and implement quality assurance programs to ensure the highest quality services.
- Manage and resolve client inquiries and complaints
- Maintain detailed records and reporting of all pertinent activity.
Captain (O-3)
U.S. Army
06.2008 - 09.2013
- Skilled at working independently and collaboratively in a team environment.
- Excellent communication skills, both verbal and written while working in a team setting providing support and guidance.
- Worked effectively in fast-paced environments.
Education
BBA - Accounting
Clark State Community College
Springfield, OH03.2028
Certification in Medical Assisting -
MedCerts
Livonia, MI12.2023
Bachelor of Science in Psychology -
University of Phoenix-Online Campus
09.2018
Skills
- Business Development
- Staff Development
- Performance Management
- Project Management
- Interpersonal Relations
- Contract Management
Certification
- Certified Phlebotomy Technician, 01/01/24, 01/01/26
- Driver's License
Timeline
Medical Claims Specialist Manager
JND Legal Administration
06.2018 - 10.2023
Captain (O-3)
U.S. Army
06.2008 - 09.2013
BBA - Accounting
Clark State Community College
Certification in Medical Assisting -
MedCerts
Bachelor of Science in Psychology -
University of Phoenix-Online Campus
- Certified Phlebotomy Technician, 01/01/24, 01/01/26
- Driver's License
Similar Profiles
Dominique ShipmanDominique Shipman
Quality Assurance Agent at JND Legal AdministrationQuality Assurance Agent at JND Legal Administration
Aiyanna HintonAiyanna Hinton
Contact Center Agent at JND Legal AdministrationContact Center Agent at JND Legal Administration
ANGIE JULIETH GOMEZ RODRIGUEZANGIE JULIETH GOMEZ RODRIGUEZ
SHIPMENT CLERK at Legal Trucking AdministrationSHIPMENT CLERK at Legal Trucking Administration