Kamisha Barnwell
Greenwich,CT
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
9
9
years of professional experience
Work History
Claims Analyst/ Team Lead
United Healthcare Group
04.2020 - Current
- Identified trends in claim patterns, providing actionable insights for process improvements and risk mitigation strategies.
- Conducted thorough investigations into each claim, gathering relevant data and documentation to support decision-making processes.
- Negotiated successful settlements with clients, ensuring a mutually beneficial outcome for all parties involved.
- Assisted clients throughout the entire lifecycle of their claim, from initial filing to final settlement or denial determination.
- Collaborated with cross-functional teams to develop best practices for claim handling procedures.
- Supported internal audit initiatives by providing detailed documentation of claims handling procedures as required for compliance purposes.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Medical Biller/Medical Receptionist
Northside Hospital Atlanta
01.2016 - 03.2020
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Verified insurance of patients to determine eligibility.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Adhered to established standards to safeguard patients' health information.
Education
GED -
NYS-GED
Skills
- Claims
- Skilled in Microsoft office suites, communication, prioritization
- Interpersonal and written communication
- Data interpretation
- Claims review
- Policy interpretation
- Data privacy initiatives
- Claims history analysis
- Document workflow
- HIPAA compliance
- Multitasking and organization
- Medical terminology
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated with team of 20 in the development of a number of projects.
Timeline
Claims Analyst/ Team Lead
United Healthcare Group
04.2020 - Current
Medical Biller/Medical Receptionist
Northside Hospital Atlanta
01.2016 - 03.2020
GED -
NYS-GED
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