Evan Warwick
Summary
Dedicated and detail-oriented healthcare billing professional with over ten years of experience in medical environments, and customer service. Strengths in customer service and satisfaction.
Overview
7
7
years of professional experience
Work History
Grievance and Appeals Coordinator
Centene-Peach State Health Plan, Georgia Medicaid
05.2023 - 05.2023
- Gather, analyze, and resolve member and provider grievances and appeals in compliance with company policies
- Prepare formal response letters addressing complaints, grievances, and appeals for both members and providers
- Coordinate communications with members and providers to resolve medical and billing issues
Claims analyst
Centene - Ambetter, Medicaid
10.2016 - 05.2023
- Processed claims from submission to final payment while maintaining high accuracy.
- Managed claim adjustments, denials, and appeals.
- Collaborated with RCM vendors to reduce billing errors and ensure accurate payment.
- Provided support in identifying key clients for error resolution, driving accuracy in billing.
Education
High School Diploma -
Hobbs High School
Hobbs, NMMass Communication
Tyler Junior College
Troup, TX05.2011
Skills
- Familiarity with medical billing software and MS Office suite
- Customer Service: Handling patient billing inquiries, payment processing, and resolution
- Problem Solving: Identifying and resolving billing discrepancies and errors
- Communication: Strong written, verbal, and interpersonal communication skills
- Data entry proficiency
- Policy interpretation
- Strong analytical skills
- Medical terminology
- Documentation expertise
- Insurance policies
- Claims investigation
Timeline
Grievance and Appeals Coordinator
Centene-Peach State Health Plan, Georgia Medicaid
05.2023 - 05.2023
Claims analyst
Centene - Ambetter, Medicaid
10.2016 - 05.2023
High School Diploma -
Hobbs High School
Mass Communication
Tyler Junior College