Karen Dandridge
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
23
23
years of professional experience
Work History
Workers Comp Insurance Follow up and Denial Representative
UnitedHealth Group-Optum
11.2023 - Current
- Review, analyze and resolve no response and/or denied claims that have been submitted to the payor for reimbursement
- Identify, document, and communicate root cause of trends in recurring denials as well as recommend solutions and/or process improvements to prevent future denials
- Contact payors regarding billing discrepancies, payment inconsistencies and/or claim related issues
- Research delinquent accounts to successful claim resolution
- Works incoming correspondence, including Payor letters, denials and additional information requests necessary to process claims
- Submits necessary Payor reconsiderations and/or appeals to overturn denials
- Interprets explanation of benefits for appropriate follow up action.
Senior Clerk
UnitedHealth Group-Optum
05.2022 - 11.2023
- Open mail from patients and various insurance companies and distribute
- Process bank correspondence for application to patient accounts
- Sort, attach notes, and mail claims to insurance companies
- Assist with special team projects
- Follow-up with insurance companies on Workman's Comp missing payments
Accounting Clerk
RR Donnelley-Tforce
10.2018 - 06.2020
- Received checks from lockbox, endorsed them, and applied to the customer accounts
- Posted ACH and credit card payments to customer accounts
- Reviewed, processed, and reconciled accounts and invoices within portfolio
- Processed accounts payable and billing information
- Created and updated excel spreadsheets
- Assisted the bookkeeper with driver payroll, cash applications, billing, and month-end closing process.
Temp Accounting Clerk
Fairrington Transportation and Shore Packaging Corp
08.2016 - 03.2017
- Managed data entry, photocopied, monitored emails, and forwarded to appropriate teams
- Aided customers with payments and deliveries
- Held responsibilities for filing, answering phones, assisting with inventory reconciliation for 3rd party warehouses
- Performed ad hoc projects as assigned by management
- Communicated with customers, managers, and other departments regarding issues or disputes.
National Account Collector
Stanley Black & Decker
01.2014 - 05.2016
- Processed billing, payments, and collections for various National Account customers using excel
- Handled various internal billing and reporting systems
- Created new customer accounts and processed their credit card transactions
- Served as the first point of contact for customer inquiries
- Interfaced with various levels of management to resolve billing and service issues.
National Accounting Billing Representative I-III, Business Analyst
Waste Management
10.2001 - 03.2012
- Provided a range of billing reports to the Account Managers and customers on a weekly, monthly, and/or quarterly basis
- Analyzed data entry consistently to ensure report accuracy and quality
- Used Microsoft Excel daily to perform v-lookups and pivot tables for creating detailed reports based on customer specifications
- Processed billing for National Account customers using an automated billing system
- Audited pricing for compliance with the customer's service contract
- Trained and mentored new employees as the Team Lead for the recycling billing representatives.
Education
Associate degree with an emphasis on Business -
Robert Morris University
Skills
- Outlook
- Microsoft Office Products
- Knowledge of ICD-10, CPT and HCPCs
- Epic
- Customer Support
- Data entry proficiency
- Issue Research
Timeline
Workers Comp Insurance Follow up and Denial Representative
UnitedHealth Group-Optum
11.2023 - Current
Senior Clerk
UnitedHealth Group-Optum
05.2022 - 11.2023
Accounting Clerk
RR Donnelley-Tforce
10.2018 - 06.2020
Temp Accounting Clerk
Fairrington Transportation and Shore Packaging Corp
08.2016 - 03.2017
National Account Collector
Stanley Black & Decker
01.2014 - 05.2016
National Accounting Billing Representative I-III, Business Analyst
Waste Management
10.2001 - 03.2012
Associate degree with an emphasis on Business -
Robert Morris University