Darius Waller
Canton,MI
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
7
7
years of professional experience
Work History
Payment Processor
MEPCO INC
Chicago, IL
08.2023 - Current
- Reviewed customer payment requests to ensure accuracy and compliance with company policies.
- Processed payments for customers in a timely manner, ensuring that all deadlines were met.
- Analyzed financial data to determine appropriate payment amounts and methods.
- Researched discrepancies between customer orders and payments received.
- Verified customer account information prior to processing payments.
- Assisted customers with inquiries related to their accounts, including payment status updates and other issues.
- Performed quality control checks on customer payment records before submitting them for approval or archiving them in the system.
- Monitored incoming emails from customers regarding their payment requests and responded promptly with relevant information.
Medicare Claims Processor
Blue Cross And Blue Shield Of Michigan
Detroit, MI
11.2020 - 06.2023
- Acted as intermediary between insurance companies and customers by researching and assessing information to determine claim validity.
- Made outbound calls to insurance companies, patients and physicians to perform eligibility checks for patients.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Organized information by using spreadsheets, databases or word processing applications.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
- Submitted electronic and paper-based Medicare claims using appropriate coding conventions.
- Reviewed patient records to ensure accuracy of information and completeness of documentation for Medicare claims processing.
- Responded to inquiries regarding claim status updates from providers and patients.
- Attended training sessions conducted by CMS representatives on updates pertaining to changes in policy or procedures related to Medicare Claims Processing.
Team Leader
Sam's Club
Ypsilanti, MI
07.2018 - 11.2021
- Offered training and support to keep team members motivated and working toward objectives.
- Delegated daily tasks to team members to optimize group productivity.
- Kept work areas clean, neat and free of safety hazards to maximize efficiency.
- Promoted to leadership position in recognition of strong work ethic and provided exceptional customer service.
- Reviewed completed work to verify consistency, quality and conformance.
- Assigned projects and distributed tasks to team members as per area of expertise.
Shift Leader
Taco Bell
Canton, MI
05.2017 - 08.2019
- Counted cash on hand at shift change and closing to determine shortages or overages and prepare bank deposit statements.
- Supervised and led employees to maintain productivity and customer service levels.
- Handled escalated customer concerns and emergencies in absence of manager or supervisor.
- Educated customers about offerings, promotions and pricing to boost sales.
- Checked orders for quality and completeness.
- Delegated tasks to employees and monitored activities and task completion.
Education
High School Diploma -
Advanced Technology Academy
Dearborn, MI06.2017
Associate of Arts -
Schoolcraft College
Livonia, MISkills
- Client Interviews
- Data Entry
- Claim Amount Calculations
- Problem-Solving
- Eligibility Determination
- Teamwork and Collaboration
- Verbal and Written Communication
- Customer Service
- Insurance Carrier Applications
- Coverage Determination
- Billing Software
- New Policies Processing
- Microsoft Office
- Decision Making
- Active Listening
- Account Management Software
- 10-key Touch
- Financial Transactions
- Policy and Procedure Explanations
- Regulatory Compliance Adherence
- Cancellation Notifications
- Organizing and Prioritizing Work
- Proofreading and Editing
- Transaction Processing
- Billing Dispute Resolution
- Payment and Investigation Escalations
- Large-Sum Computations
- Google Suite
- Data Entry Software
- Attention to Detail
- Critical Thinking
- Recordkeeping Organization
- Time Management
- Composing Business Correspondence
Timeline
Payment Processor
MEPCO INC
08.2023 - Current
Medicare Claims Processor
Blue Cross And Blue Shield Of Michigan
11.2020 - 06.2023
Team Leader
Sam's Club
07.2018 - 11.2021
Shift Leader
Taco Bell
05.2017 - 08.2019
High School Diploma -
Advanced Technology Academy
Associate of Arts -
Schoolcraft College
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