Dazyra Allen
Baton Rouge,LA
Summary
Detail-oriented Medical Claims Processor with expertise in denial management, electronic health records, and workflow collaboration. Specializes in enhancing claims accuracy, verifying provider data, and managing customer relationships. Focused on improving workflow efficiency and addressing documentation gaps to expedite reimbursements.
Overview
5
5
years of professional experience
Work History
Medical Claims Processor
Novitas Solutions
Remote
10.2024 - 09.2025
- Processed claims using electronic health record systems.
- Reviewed medical claims for accuracy and completeness.
- Processed a high volume of claims on a daily basis using established time frames.
- Submitted electronic claims through various clearinghouses.
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
- Collaborated with team members to enhance claims processing workflows, improving overall efficiency.
- Coordinated with providers' offices to expedite reimbursement on submitted claims by addressing documentation gaps and correcting errors that caused payment delays.
- Investigated claim denials and appeals to identify resolutions, ensuring accurate and timely processing.
- Sent clinical request and missing information letters to obtain incomplete information.
Technical Customer Service Representative
Sutherland Global
Remote
01.2024 - 09.2024
- Educated customers on product features and troubleshooting steps, enhancing their understanding and usage of products.
- Identified customer needs and provided appropriate solutions.
- Guided customers in using software applications and tools effectively.
- Collaborated with engineering teams to address complex technical issues promptly.
- Maintained composure and patience in difficult customer situations, effectively applying de-escalation techniques to resolve conflicts.
- Managed multiple tasks simultaneously, ensuring high accuracy in customer support operations.
Infant Teacher
Brighterstars
Winnsboro, LA
08.2023 - 01.2024
- Designed engaging lesson plans for infants, fostering early development and learning.
- Supervised circle time, free play, and developmental activities to enhance children's learning and social interaction.
- Organized and led activities to promote physical, mental and social development.
- Communicated with parents to share student progress and schedule meetings, fostering strong relationships and supporting child development.
- Maintained cleanliness and safety of classroom environment for optimal learning conditions.
- Organized age-appropriate activities that encouraged sensory exploration and enhanced social skills among infants.
- Followed safe feeding guidelines and parental requests for breastmilk, formula and solids.
- Sanitized toys, equipment, supplies and surfaces regularly.
- Assisted with diaper changes and supported children with toileting needs.
Customer Service Representative
Teleperformance
Remote
06.2023 - 08.2023
- Addressed customer inquiries and delivered tailored product information to enhance satisfaction.
- Resolved customer complaints through effective communication and problem-solving.
- Recorded customer interactions in database to ensure accurate follow-up and continuity of service.
- Developed strong relationships with customers by providing personalized assistance and support.
- Guided customers through product selection, ordering, billing, returns, exchanges, and technical support to streamline their experience.
Cashier
Brookshire's Grocery
Winnsboro, Louisiana
01.2023 - 06.2023
- Ensured cleanliness and organization of checkout areas and merchandise displays to create welcoming environment.
- Cultivated positive relationships with customers to improve their shopping experience.
- Processed customer transactions efficiently using point-of-sale systems.
- Greeted customers and addressed inquiries about store products and services to assist their needs.
Manager Trainee
Towerloan
Winnsboro, Louisiana
02.2021 - 12.2022
- Collaborated with customers to identify needs and efficiently resolve issues.
- Resolved customer issues efficiently to build loyalty.
- Consulted with customers to explore product and service options.
- Maintained current understanding of company offerings to better serve customers and team members.
- Achieved key objectives during my first year in the role.
- Reviewed customer feedback to pinpoint improvement areas for team development.
Carhop
Sonic
Winnsboro, LA
06.2020 - 01.2021
- Delivered food orders to customers promptly with a friendly demeanor, fostering positive interactions.
- Delivered food orders to customers promptly, ensuring satisfaction.
- Maintained high standards of customer service during high-volume work shifts and fast-paced operations.
- Maintained cleanliness of carhop area and dining space to enhance customer experience.
Education
High School Diploma -
Franklin Parish High School
Winnsboro, LA05.2020
Skills
- Medical claims processing
- Denial management
- Electronic health records
- Provider data verification
- Data entry accuracy
- Workflow collaboration
- Customer relationship management
- Problem solving
- Attention to detail
- Time management
- Teamwork
- Customer service
- Effective communication
Timeline
Medical Claims Processor
Novitas Solutions
10.2024 - 09.2025
Technical Customer Service Representative
Sutherland Global
01.2024 - 09.2024
Infant Teacher
Brighterstars
08.2023 - 01.2024
Customer Service Representative
Teleperformance
06.2023 - 08.2023
Cashier
Brookshire's Grocery
01.2023 - 06.2023
Manager Trainee
Towerloan
02.2021 - 12.2022
Carhop
Sonic
06.2020 - 01.2021
High School Diploma -
Franklin Parish High School