Summary
Overview
Work History
Education
Skills
Timeline
Generic

Joshua L. Whitley

Houston,TX

Summary

Talented professional considered knowledgeable leader and dedicated problem solver. Brings more than 10 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.

Overview

12
12
years of professional experience

Work History

Office Coordinator

Radlink Staffing
10.2023 - Current
  • Streamlined office operations by implementing efficient filing systems and organizational tools.
  • Enhanced patient experience by managing front office operations efficiently and professionally.
  • Collaborated with medical staff to ensure seamless coordination of patient care and timely communication.
  • Developed strong relationships with patients, providing empathetic support and assistance throughout their visit.
  • Assisted in the implementation of electronic health records systems for increased efficiency and accuracy in recordkeeping.
  • Conducted insurance verification tasks accurately, ensuring proper coverage and minimizing billing errors.
  • Safeguarded patient privacy by strictly adhering to HIPAA regulations and maintaining confidentiality at all times.
  • Facilitated timely check-in and check-out procedures, streamlining patient flow through the clinic.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Implemented project management techniques to overcome obstacles and increase team productivity.

Medical Claims Adjuster

Allstate Insurance Company
09.2014 - 09.2023
  • Reduced claim processing time by streamlining medical claims adjudication processes.
  • Enhanced team efficiency by training junior adjusters in industry best practices.
  • Resolved complex claims issues for expedited processing and resolution.
  • Managed high volume caseloads, prioritizing urgent and sensitive cases for immediate attention.
  • Conducted thorough investigations of medical claims to ensure proper payment or denial.
  • Collaborated with healthcare providers to obtain necessary documentation for claim support.
  • Implemented quality control measures to reduce errors and improve overall accuracy rate in claims processing.
  • Identified patterns of fraudulent activities through meticulous analysis of medical claims data.
  • Streamlined communication channels between departments, expediting information flow and improving overall productivity.
  • Developed customized reports for management review, highlighting key trends and areas of improvement in claims handling process.
  • Assisted in the creation of departmental procedures and guidelines to maintain consistency across all team members'' work quality standards.
  • Provided exceptional customer service to both internal and external stakeholders during the entire claim lifecycle process.
  • Participated in cross-functional teams to address systemic issues within the organization, contributing insights from a medical claims perspective.
  • Evaluated new software tools that improved productivity levels while maintaining accuracy standards.
  • Mentored new hires on company policies, procedures, and best practices related to medical claims adjusting.
  • Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
  • Managed large volume of medical claims on daily basis.
  • Researched and resolved complex medical claims issues to support timely processing.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Documented information gathered in field and uploaded data to company database for efficient processing NextGEN.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Analyzed information gathered by investigation and report findings and recommendations.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Generated reports on medical claims processing activities and results.
  • Reviewed provider coding information to report services and verify correctness.
  • Assessed medical claims for compliance with regulations and corrected discrepancies.
  • Monitored and updated claims status in claims processing system.
  • Evaluated medical claims for accuracy and completeness and researched missing data.

Marketing Manager

Quaker Steak & Lube
03.2014 - 09.2014
  • Increased brand awareness by developing and implementing strategic marketing campaigns.
  • Boosted sales performance through the creation of engaging promotional materials and targeted advertising strategies.
  • Managed social media accounts for optimal audience engagement and increased online presence.
  • Analyzed market trends to identify new opportunities, adjusting marketing plans accordingly for maximum effectiveness.
  • Improved customer loyalty by implementing effective email marketing campaigns and personalized offers.
  • Collaborated with cross-functional teams to ensure consistent branding across all company touchpoints and communications channels.
  • Developed creative briefs for internal designers, ensuring alignment with overall marketing objectives and brand guidelines.
  • Negotiated partnerships with key influencers, maximizing brand exposure in target markets.
  • Managed budgets, allocating funds strategically towards high-impact initiatives that supported overall business goals.
  • Delivered compelling presentations to stakeholders, demonstrating the value of proposed marketing initiatives in driving business results.
  • Established strong relationships with media outlets through regular outreach efforts, securing valuable press coverage for company news and events.
  • Developed and implemented marketing strategies to use for launches, rebranding campaigns and promotions.
  • Oversaw preparation of marketing copy, images, videos, emails, and other collateral.
  • Mentored local personnel on best practices and protocols to maximize productivity.
  • Oversaw the hiring program and onboarding process for more than 80 employees

Marketing Associate

Houston Rockets - National Basketball Association
09.2012 - 03.2014
  • Boosted brand visibility by developing and executing targeted marketing campaigns.
  • Developed compelling presentations for internal stakeholders and external clients, showcasing marketing successes.
  • Coordinated successful trade shows and events, increasing brand exposure and generating new business leads.
  • Assisted in budget management, maximizing ROI on marketing initiatives.
  • Supported the design process of various promotional materials including brochures, flyers, banners, and advertisements.
  • Planned and executed events and marketing programs to increase qualified leads.
  • Assisted with planning and logistical coordination for the 12th Annual Rockets Run which had more than 3000 participants and managed more than 100 volunteers.
  • Assisted with planning and implementation of game-day activities for fans, season ticket holder events, corporate sponsorship obligations, on-court game operations, fan interactive elements, and door giveaways.

Education

BBA - Marketing And Business Management

Sam Houston State University
Huntsville, TX
05.2011

Skills

  • Customer Service
  • Project Management
  • Client Relations
  • Microsoft Office proficiency
  • Training and development
  • Public and Media Relations
  • Conflict Management
  • Excellent multi-tasking ability
  • Workflow Optimization
  • Clear oral/written communication
  • Business Analysis
  • Marketing Program Management
  • Teamwork and Collaboration
  • Creative and Innovative

Timeline

Office Coordinator

Radlink Staffing
10.2023 - Current

Medical Claims Adjuster

Allstate Insurance Company
09.2014 - 09.2023

Marketing Manager

Quaker Steak & Lube
03.2014 - 09.2014

Marketing Associate

Houston Rockets - National Basketball Association
09.2012 - 03.2014

BBA - Marketing And Business Management

Sam Houston State University

Similar Profiles

CREATE PROFILE
Joshua L. Whitley