Destiny Samarripa
Kyle
Summary
Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.
Overview
3
3
years of professional experience
Work History
Claims Representative
Accenture
08.2023 - Current
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
Billing Specialist
Greater Austin Pain Center
02.2023 - 04.2023
- Improved billing accuracy by implementing a streamlined invoicing process.
- Enhanced customer satisfaction with timely and accurate invoice generation.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
- Verify benefits and eligibility
Referral Specialist
Superior Health Plan Inc
11.2020 - 10.2022
- Enhanced patient satisfaction by promptly addressing inquiries and resolving issues related to referrals.
- Streamlined referral processes for increased efficiency, resulting in timely appointments for patients.
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
- Identified opportunities for process improvements within the referral department, leading to increased efficiency and accuracy.
- Provided ongoing training for new Referral Specialist staff members, ensuring consistent quality service delivery across the team.
Education
GED -
Pearson Vue
Lockhart TxSkills
- Settlement Determinations
- Documentation Research
- Policy Knowledge
- Typing 63 wpm
- DX codes
- Procedure codes
- Trucare
- Avality
- Customer Service
- High Call Volume
Timeline
Claims Representative
Accenture
08.2023 - Current
Billing Specialist
Greater Austin Pain Center
02.2023 - 04.2023
Referral Specialist
Superior Health Plan Inc
11.2020 - 10.2022
GED -
Pearson Vue