JAMESHA COBB
Hampton,GA
Summary
Excellent Communication ● Active Listening ● Conflict Resolution ● Stress Management ● Automation Tools ● Technical Proficiency ● Typing Speed & Accuracy ● Complex Problem Solving ● Complaint Handling ● Interpersonal Skills ● Process Improvement ● Documentation Management ● CRM Systems ● Multi-tasking ● Emotional Intelligence ● Customer Feedback ● Time Management ● Customer Service ● Task Management Software ● Strong Leadership ● Remote Work Proficiency ● Conflict Management ● Call Center Operations ● Computer Proficiency ● Quality Assurance ● Resourcefulness
Overview
12
12
years of professional experience
Work History
Claims Specialist/Medical Billing Specialist
Eagle Physicians & Associates, P.A.
01.2020 - 05.2025
- Work all assigned claims within specified time period
- Review all assigned claims for correct assignment of ICD-10, CPT, HCPCS codes and modifiers
- Follow protocol when billing selected services and performing specific claim functions
- Maintain knowledge of insurance carrier specific billing requirements and apply to claims as needed
- Maintain knowledge of Correct Coding Initiative (CCI) and familiarity with all major coding resources
- Correct all identified errors on claims prior to submitting
- Correct all returned claim denials assigned to you in a timely manner
- Assist EDI, Insurance, and Customer Service Representatives in resolving claims issues
- Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
- Follow HIPAA guidelines for patient confidentiality and maintain security of Protected Health Information (PHI) and business information
Insurance Verification Specialist
Zurich Insurance Company
07.2016 - 10.2019
- Developed and implemented a comprehensive strategy for complex operations, ensuring compliance with applicable laws and regulations.
- Documented changes in claim statuses using specialized software systems.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
- Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
- Process clients' first notice of loss claim reports received through Zurich's phone & non-phone reporting options in a timely and accurate manner.
- Resolve complex claims inquiries and problems, judging when to pass complex queries on to or involve others to provide an effective service and clear advice to colleagues and customers.
- Examined claims, records and procedures to grant approval of coverage.
Order Puller/Forklift Operator
Sports Authority
02.2013 - 07.2016
- Pick orders using rf scan gun and voice picking system.
- Case pack orders and build pallets of merchandise.
- Load truck using a PE, pallet jack or sit-down lift.
- Scan packages according to label to separate before loading.
- Record number of items loaded on truck.
- Performed regular cycle counts of inventory levels in the warehouse.
- Followed all safety protocols while operating machinery such as forklifts.
Education
Associate of Arts - Business Management
University of Phoenix
Tempe, AZ03.2019
Timeline
Claims Specialist/Medical Billing Specialist
Eagle Physicians & Associates, P.A.
01.2020 - 05.2025
Insurance Verification Specialist
Zurich Insurance Company
07.2016 - 10.2019
Order Puller/Forklift Operator
Sports Authority
02.2013 - 07.2016
Associate of Arts - Business Management
University of Phoenix
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