Equipped with strong problem-solving abilities and willingness to learn, Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
5
5
years of professional experience
Work History
Closing Analyst
Ceris Corporation
10.2013 - 11.2017
Managed incoming and outgoing claims for Workers' Compensation, Healthcare providers (Aetna, Humana, UHG, Assurant, UMR), and Auto Liability.
Conducted quality checks on patient information, adjustments, and data exports from various systems. Reviewed and processed bills.
Communicated appeal findings to clients and negotiated unresolved claims. Prepared and maintained claim records using MS Excel.
Adjusted bill charges, approved payments, and ensured accurate commission reports for closed claims.
Maintained regular communication with providers, addressing inquiries and requests.
Underwent HIPAA rules and regulations training to ensure compliance with updates.
Assistant Teacher
Bright Horizons Childcare
07.2013 - 10.2013
Collaborated with teachers to design lesson plans, improving classroom activities through insightful feedback.
Provided personalized and group-based learning support to enhance student progress and development.
Utilized proactive behavior modification and positive reinforcement strategies to keep students engaged and focused.
Supervised various responsibilities, including recess, lunch, and student intake and dismissal.
Retail Associate
Macy's
12.2012 - 06.2013
Welcomed customers, assisted in locating merchandise, and offered suitable product suggestions.
Maintained visually appealing merchandise displays and organized store racks.
Ensured a clean and organized sales floor, arranging merchandise and assisting customers with purchases.
Facilitated customer enrollment in reward programs and addressed inquiries effectively.