Valincia Chisolm
Hilton Head Island,SC
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
15
15
years of professional experience
Work History
Senior Claims Specialist
EviCore Healthcare formerly Care Core National
Bluffton , South
2009.09 - Current
- Monitored compliance with applicable laws, regulations, and policies related to insurance claims processing.
- Maintained an up-to-date knowledge of industry standards and best practices related to insurance claims processing.
- Demonstrated ability to work independently as well as collaboratively within a team environment.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Coordinated with internal departments to ensure timely resolution of appeals.
Education
Some College (No Degree) - Pharmaceutical Marketing And Management
University of Phoenix
Tempe, AZSkills
- Investigative abilities
- Legal Compliance
- Policy Interpretation
- Claims Investigation
- Insurance knowledge
- Coverage Assessment
- Payment Processing
- Professionalism
Timeline
Senior Claims Specialist
EviCore Healthcare formerly Care Core National
2009.09 - Current
Some College (No Degree) - Pharmaceutical Marketing And Management
University of Phoenix
Similar Profiles
Beatriz CuacuasBeatriz Cuacuas
Customer Service Representative - Intake Rep II at EviCore Healthcare Formerly Care Core NationalCustomer Service Representative - Intake Rep II at EviCore Healthcare Formerly Care Core National
Beatriz CuacuasBeatriz Cuacuas
Customer Service Representative at EviCore Healthcare Formerly Care Core NationalCustomer Service Representative at EviCore Healthcare Formerly Care Core National
Kari GreeneKari Greene
Utilization-review-nurse at EviCore Healthcare Formerly Care Core NationalUtilization-review-nurse at EviCore Healthcare Formerly Care Core National