Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KAWANNA TRENT

Irving,TX

Summary

Detailed-oriented, energetic, self-motivated and success-driven, with over 10 years of claim handling/processing experience. While my career experience is mainly in handling medical claims and billing many of my talents and skills are transferable. I am seeking to obtain employment within a growing organization that will allow me to utilize my skills while making significant contributions to the success of the company.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Team Lead/Senior Billing Analyst

Guidehouse
04.2022 - Current
  • Provided input for and assisted in drafting of audit reports including development of audit findings and recommendations for specific remedial actions for Billers.
  • Identified trending claims issues related to rejections, denials, underpayment and made recommendations to RCM and Finance Leadership on A/R risk remediation strategies.
  • Independently drove process improvement projects to accelerate insurance A/R resolution and reduced write-offs.
  • Worked assigned worklists of complex and high risk accounts, and meet productivity and quality targets.
  • Handled account payments and provided information regarding outstanding balances.

Residential Care Specialist

Center For Transforming Lives
04.2022 - 12.2022
  • Monitored and maintained cleanliness, sanitation, and organization of assigned station and service areas.
  • Remained alert to problems or health issues of clients and competently responded.
  • Provided a proactive therapeutic approach to prevent or deescalate any crisis situations.
  • Ensured program operations and expectations were enforced.

Team Lead/Billing Analyst

Fresenius Medical Care
02.2018 - 03.2022
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Analyzed and processed complex Workers Compensation claims by investigating and gathering information throughout the life of the claim.
  • Reviewed reports, identified denied claims, research and resolved issues by performing a detailed reconciliation for accounts, and also resubmitted claims to payers for processing.
  • Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of claims submitted to payors.
  • Coordinated with cross-divisional teams in research and resolution of outstanding issues.

Claims Auditor & Quality Assurance Specialist

Cicerone Health
02.2015 - 01.2018
  • Reviewed insurance claims and member eligibility to determine overpayment trends and noncompliance issues.
  • Researched issues related to claims processing to identify origins and implement corrective solutions.
  • Provided high level of professionalism when speaking with the Billing Team or responding to emails to promote company's dedication to service.
  • Prioritized daily tasks to satisfy workload demands and department's turnaround goals.
  • Accountable for analyzing and measuring results of implemented policies, changes, and a system modifications.

Medical Claims Analyst

CVS Healthcare
08.2014 - 01.2015
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Researched and resolved complex medical claims issues to support timely processing.
  • Used administrative guidelines as resource or to answer questions when processing medical claims.
  • Paid or denied medical claims based upon established claims processing criteria.

Client Benefit Analyst

Express Scripts
09.2012 - 07.2014
  • Managed team daily operations on migration projects including but not limited to project management and client billing.
  • Implemented new groups and uploaded requirements for CBM, ABM and other automation systems.
  • Trained entry level Analysts on new automation systems and operational processes.
  • Reviewed, analyzed and prepared operational reports on Microsoft Access and Remedy to submit to the Operational Manager, Director, and SR Director
  • Created and managed spreadsheets on Microsoft Excel for new groups and client implementations.

Team Lead/Medical Claims Adjuster

Blue Cross Blue Shield Of Arkansas
06.2007 - 07.2012
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Verified patient insurance coverage and benefits for medical claims.
  • Lead team with the lowest turnaround time for primary insurance payment from 2006 to 2007 showing a decrease of penalty costs by 21%.
  • Mentored and trained new Claims Specialists and Adjusters on AMYSIS Claim System and Meditech.
  • Worked with the Appeals team on aged and high dollar claims benefits and payments.

Education

Health Administration

University of Arkansas At Little Rock
Little Rock, AR

Skills

  • Compliance Requirements
  • Investigate/Negotiation
  • Insurance Verification
  • Medical Terminology
  • Data Entry
  • Workers Compensation
  • Microsoft Office
  • Claims Processing
  • 10-Key
  • Medical Insurance

Certification

  • State Farm Property & Casualty
  • State Farm Auto
  • State Farm Policy & Estimates

Timeline

Team Lead/Senior Billing Analyst

Guidehouse
04.2022 - Current

Residential Care Specialist

Center For Transforming Lives
04.2022 - 12.2022

Team Lead/Billing Analyst

Fresenius Medical Care
02.2018 - 03.2022

Claims Auditor & Quality Assurance Specialist

Cicerone Health
02.2015 - 01.2018

Medical Claims Analyst

CVS Healthcare
08.2014 - 01.2015

Client Benefit Analyst

Express Scripts
09.2012 - 07.2014

Team Lead/Medical Claims Adjuster

Blue Cross Blue Shield Of Arkansas
06.2007 - 07.2012

Health Administration

University of Arkansas At Little Rock

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KAWANNA TRENT