Gerranesha Morris
Riverview,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
Recovery Analyst Lead
WellCare
Tampa
02.2019 - Current
- Gathers and records patient information creating a medical account
- Recognized and identified potential fraudulent claims
- Identify any Overpayments, Refunds
- Evaluate professional skills of claim staffs and provide appropriate claim assignments to them
- Monitor individual performance and ensure it meets expected quality and performance objectives.
Claims Processer
United Health Group
Tampa
07.2012 - 01.2019
- Providing claim status to providers, explaining denial reason, analyze if the claim is process correctly, go over CPT codes
- Verifying member coverage, copays, deducible, max out of pocket
- Provide authorization information to member and providers
- Process hospital, medical claims and follow up on reimbursements
- Collections calls for provider and members.
Education
Diploma -
Seminole Heights Charter School
01-2010
Skills
- Proficient in Microsoft Office (Word, Excel, Access, PowerPoint)
- Payment Processing
- Adjustment posting
- Medical terminology knowledge
- Data Entry
- Insurance Claim Forms Review
- Medical Terminology
- Electronic authorization processing
Accomplishments
Skilled at multi-tasking, systematic thinker, team player, Appearance, communicative, responsible, dependable, resilient, and Possess the understanding that the key to customer satisfaction is the attention to details.
Wpm
47
Timeline
Recovery Analyst Lead
WellCare
02.2019 - Current
Claims Processer
United Health Group
07.2012 - 01.2019
Diploma -
Seminole Heights Charter School
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