Kailah Phelps
Tampa,FL
Summary
Results-driven professional focused on delivering exceptional support for customer needs. Successfully manages concerns and resolves conflicts to maximize customer satisfaction. Offers strong background in customer relations and communication.
Overview
5
5
years of professional experience
Work History
Member Service Team Lead
HealthAxis
07.2020 - Current
- Provide coaching, feedback and annual performance reviews as well as formal corrective action to total of 15 representatives.
- Responded to customer calls and emails to answer questions about products and services 50 per day.
- Reprocess claims and adjust claims for Medicare and Medicaid plans
- Adjusting high dollar claims for Medicare and Medicaid.
- Coordinate work activities with other supervisors, managers, departments.
- Coordinate and supervise daily/weekly/monthly activities of team members
- Set priorities for team to ensure task completion and performance goals are me
- Managed care with Provider Contracting, Network Management or Provider Relations experience.
Claims Specialist
HealthAxis
05.2022 - 12.2022
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Analyze and research complex healthcare claims to identify discrepancies 50 claims a day 10 per hour.
- Verify pricing, confirm prior authorizations and process them for payment.
- Navigating across various computer systems to locate critical information
Concierge Specialist
Beacon Health Solutions / Healhaxis
04.2019 - 07.2020
- Offered friendly and efficient service to customers, handled challenging situations with ease.
- Maintained front desk's concierge book to provide visitors with access to relevant local information.
- Created and maintained comprehensive database of local attractions and restaurants to assist personnel in recommending guest entertainment.
- Developed and implemented guest service policies and procedures to drive loyalty and referrals.
Education
High School Diploma -
Leto High School
Tampa, FL06.2014
Skills
- Performance Feedback
- Client Relationships
- Claims Preparation
- Resolving Complaints
- Performance Tracking and Evaluations
- Employee Coaching and Mentoring
- Team Productivity
- Staff Assignments and Supervision
- Natural Leadership
- Team Goals
- Insurance Claims
- ICD-10 Coding
- Claims Auditing
- Analyzing Claims
- Thorough Claims Reviews
Timeline
Claims Specialist
HealthAxis
05.2022 - 12.2022
Member Service Team Lead
HealthAxis
07.2020 - Current
Concierge Specialist
Beacon Health Solutions / Healhaxis
04.2019 - 07.2020
High School Diploma -
Leto High School
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