Demetria Hardeman

Answered incoming calls, took messages, and transferred calls to relevant departments.

• Greeted visitors and provided assistance to ensure positive experiences.
• Managed and processed claims through thorough investigations of validity and coverage.
• Analyzed policy information and medical records to support accurate claim decisions.
• Negotiated settlements and resolved complex claims issues efficiently.
• Maintained organized filing system of confidential client information per company policy.
• Assisted in training new claims specialists to uphold quality standards.
• Conducted interviews with involved parties to gather detailed information for investigations.

Scheduled tests and procedures per requests from healthcare providers.

• Verified patient demographics, entered data into electronic health record system, and supported physicians.
• Checked in patients, obtained necessary paperwork before check-in, and verified insurance information.
• Greeted patients, collected copays, and confirmed scheduled appointments via phone calls.
• Maintained clean reception area by restocking supplies and cleaning furniture surfaces.
• Reviewed claim documents for accuracy, opened and monitored claims for timely processing.
• Collaborated with healthcare providers to ensure accurate treatment verification and claim payments.
• Managed inventory of CPAP machines, provided technical support, and educated patients on usage.