Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Cortina Spann (R.N.)

Fairburn,United States

Summary

Experienced professional with a strong background in technology-related roles. Proficient in software development, system administration, and technical support. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Human Resource Supervisor

A Kind Heart Personal Care
05.2004 - 06.2024
  • Supervised caregivers, ensuring quality care and compliance with regulations, enhancing service standards
  • Managed schedules and calendars, optimizing resource allocation and improving operational efficiency
  • Drafted contracts and handled payroll, ensuring accuracy and timely payments, reducing errors and disputes
  • Maintained customer service relations, addressing concerns promptly and improving client satisfaction
  • Developed community partnerships, fostering collaborations that expanded service reach and impact
  • Implemented streamlined scheduling processes, improving caregiver efficiency by 20%
  • Maintained up-to-date knowledge of coding changes, updates, and new rules.
  • Performed audits on coded claims to ensure that all required data elements are included for accurate payment processing.
  • Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
  • Led caregiver training programs, enhancing skills and compliance, resulting in a 25% improvement in service quality.
  • Maintained confidentiality of patient information according to HIPAA regulations.

Remote Adjuster Agent

Crawford and Company
Remote
10.2023 - 12.2023
  • Investigated and resolved remote claims, achieving high customer satisfaction and timely settlements
  • Analyzed complex cases to determine coverage, leading to accurate and fair claim resolutions
  • Collaborated with team members to streamline processes, improving efficiency and reducing claim processing time
  • Utilized advanced software tools for claims management, enhancing data accuracy and reporting capabilities
  • Demonstrates a relentless drive to achieve goals, consistently meeting deadlines and exceeding performance targets through hard work and dedication.
  • Participated in training sessions related to new policies or procedures.
  • Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
  • Verified accuracy of procedure codes to ensure proper reimbursement levels.

Claims Representative

Esurance
Richardson, TX
11.2021 - 01.2023
  • Examined coverage, policy interpretation, and exposure, resolving claims efficiently
  • Collaborated with attorneys to achieve mutual claims resolutions
  • and extent of loss.
  • Ensured compliance with applicable state laws and regulations governing the handling of insurance claims.
  • Prepared detailed reports on claims activity for management review.
  • Prepared and reviewed detailed property and content estimates, ensuring accuracy and thoroughness in every claim evaluation
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Processed claims by obtaining necessary documents and information from policyholders, witnesses, medical providers.
  • Performed quality assurance reviews of medical records for accuracy and completeness.
  • Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.

Education

Bachelors of Science -

Georgia State University

Skills

  • Workforce Planning
  • Organizational Development
  • Interviewing techniques
  • Compensation and benefits
  • Team Building and Leadership
  • Employment law knowledge
  • Benefits Administration
  • Payroll Processing
  • Health and Safety Regulations
  • HIPAA Compliance
  • Medical record security
  • Claims Processing
  • Records Management
  • Data Entry
  • Medical Billing
  • Regulatory guidelines
  • Medical Terminology
  • Data security procedures
  • Document Management
  • Insurance Verification

Certification

Texas adjuster license

Alabama adjuster license

References

References available upon request.

Timeline

Remote Adjuster Agent

Crawford and Company
10.2023 - 12.2023

Claims Representative

Esurance
11.2021 - 01.2023

Human Resource Supervisor

A Kind Heart Personal Care
05.2004 - 06.2024

Bachelors of Science -

Georgia State University

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Cortina Spann (R.N.)