Kalan Finley
Dallas ,USA
Summary
Applied critical thinking to foster collaboration within teams, resulting in effective problem-solving.
Overview
8
8
years of professional experience
Work History
Seasonal-QA Representative
Bloom
06.2024 - 12.2024
- Executed quality monitoring of call center agent recordings according to established standards and systems.
- Identified and flagged compliance issues, escalating them to the appropriate department for resolution.
- Monitored team channels and QA group chats to stay updated on daily client requests.
Third Party Claims Representative
Elevate PFS
01.2023 - 01.2024
- Analyzed account discrepancies and implemented solutions to ensure swift and accurate reimbursements.
- Investigated leads by meticulously reviewing and researching accident claims for accuracy and validity.
- Reviewed and submitted claims to no-fault and third-party liability carriers when applicable to facilitate claims resolution.
Patient Billing Specialist
Elevate PFS
01.2022 - 01.2023
- Connected uninsured hospital patients with programs to cover medical expenses. Facilitated communication between patients, hospital facilities, and government agencies.
- Completed applications and followed through until approval. Maintained detailed, accurate, and timely documentation in both Mpower and hospital systems for all cases. Provided exceptional customer service at all times. Participated in ongoing training to apply learned content in patient interactions. Managed assigned work queue of patient accounts. Collaborated with hospital staff, case managers, social workers, and financial counselors.
- Facilitated resolution of patient accounts through full payment collection. Established payment plans and coordinated post-dated payments. Assisted patients in identifying insurance options and negotiating settlements or discounts. Acknowledged valid reasons for patients disputing balances. Maintained knowledge of procedures and protocols for all providers.
Guest Teacher
Swing Education
01.2018 - 01.2022
- Oversaw the creation of comprehensive lesson plans and facilitated student learning at various grade levels. Managed homework assignments, evaluated tests, and documented student progress to inform instructional strategies. Fostered an engaging learning environment that empowered students to excel academically and transition successfully to the next grade.
Jr. Recruiter
Cole&Cole Logistics
01.2018 - 01.2019
- Assisted in daily outreach to applicants. Conducted initial interviews to assess and qualify potential candidates. Utilized independent judgment to identify top candidates for company representation. Matched candidates with client expectations and requirements. Provided training and orientation on policies and assignment expectations after candidate selection.
Intern Dispatcher
Ruston Police Department
01.2017 - 01.2018
- Supported police department operations by responding to 911 calls and observing the workflow of a 911 dispatcher.
Education
MS - Criminal Justice
Grambling State University
12.2023
BS - Criminal Justice
Grambling State University
05.2018
Skills
- Achieved timely and accurate processing of accounts payable and receivable, enhancing overall financial operations Improved payroll and cash handling processes, contributing to more effective financial management Elevated customer service quality through strategic use of Salesforce and Zendesk, leading to higher client retention Drove informed decision-making through thorough data analysis utilizing V-Lookup and Access
Timeline
Seasonal-QA Representative
Bloom
06.2024 - 12.2024
Third Party Claims Representative
Elevate PFS
01.2023 - 01.2024
Patient Billing Specialist
Elevate PFS
01.2022 - 01.2023
Guest Teacher
Swing Education
01.2018 - 01.2022
Jr. Recruiter
Cole&Cole Logistics
01.2018 - 01.2019
Intern Dispatcher
Ruston Police Department
01.2017 - 01.2018
MS - Criminal Justice
Grambling State University
BS - Criminal Justice
Grambling State University