Imani Collins
Newark,NJ
Summary
Expertise in medical claim processing and critical decision-making. Enhanced patient satisfaction and streamlined operations, achieving significant efficiency improvements. Skilled in ICD-10 coding and fostering teamwork, adept at handling complex escalations with confidentiality and professionalism.
Overview
4
4
years of professional experience
Work History
Medical Claims Processor and Support Specialist
ConnectiveRx
03.2024 - Current
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Paid or denied medical claims based upon established claims processing criteria.
- Coordinated with other departments to ensure seamless integration of new policies and procedures, minimizing disruption to ongoing operations.
- Enhanced overall productivity by identifying ways to streamline claim processes.
- Maintained detailed documentation of support interactions, ensuring valuable insights are preserved for future reference and analysis.
- Responded to patient inquiries and resolved complaints to establish trust and increase
satisfaction - ICD-10 coding and validation.
- Conducted regular follow-ups with patients to ensure their issues were fully resolved and to gather feedback for service improvement.
Lead Patient Enrollment Specialist
Elevance Health
10.2020 - 10.2023
- Conducted employee trainings to uphold cohesive service quality.
- Increased retention rates by developing rapport with customers.
- Addressed discrepancies encountered by the pharmacy account management and activation team.
- Handled patient experiences post-onboarding to ensure satisfaction and retention.
- Facilitated morale improvement by fostering an environment of open dialogue and teamwork.
- Ensured rapid resolution of escalated customer problems while preserving relationships with patients.
- Educated patients on the options available to them regarding their pharmacy care and
medication adherence
Education
Bachelor of Arts - Political Science And Government
Fairleigh Dickinson University
Florham Park, NJ05-2020
Skills
- Critical decision-making
- ICD-10 coding
- Call management
- Medical claim processing
- EMR systems
- Escalations and collaboration
Timeline
Medical Claims Processor and Support Specialist
ConnectiveRx
03.2024 - Current
Lead Patient Enrollment Specialist
Elevance Health
10.2020 - 10.2023
Bachelor of Arts - Political Science And Government
Fairleigh Dickinson University
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