Denise Graham
Riner,VA
Summary
Dynamic professional with over 25 years of customer service experience, adept at analyzing healthcare data and identifying fraud, waste, and abuse, at Anthem Blue Cross Blue Shield. Recognized for excellent communication and problem-solving skills, I thrive in fast-paced environments, consistently delivering results while maintaining a strong commitment to compliance and continual improvement.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Overview
25
25
years of professional experience
Work History
Accumulator
Anthem Blue Cross Blue Shield
Roanoke, VA
07.2000 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Strengthened communication skills through regular interactions with others.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Learned and adapted quickly to new technology and software applications.
Education
Associate of Applied Science - Medical Technology
New River Community College
Dublin, VABachelor of Science - Criminal Justice
Radford University
Radford, VA05-2016
Skills
- Able to work alone, or on a team I have worked from home, for Anthem, for the past 18 years I have a business speed internet
- Excellent verbal and written communication skills, able to interact professionally with all levels of staff
- Problem-solving skills, ability to multitask
- Dependable, able to prioritize
- Over 25 years of customer service experience
- Extensive experience with healthcare data, across all lines of business researching and analyzing data for Anthem Blue Cross Blue Shield
- Reviewed health claims daily for possible fraud, waste, and abuse, as part of my daily work, in adjustments for the Accumulator team
- Continual on the job training, which including a yearly renewal of our Fraud, Waste, and Abuse training, to remain in compliance
- Proficient in all Microsoft Office applications, especially Excel, as most of our work utilized Excel
- HIPPA certified while working for Anthem
- Evaluated
Timeline
Accumulator
Anthem Blue Cross Blue Shield
07.2000 - Current
Associate of Applied Science - Medical Technology
New River Community College
Bachelor of Science - Criminal Justice
Radford University