Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ke'Ara Butler

Tampa,Florida

Summary

Highly trained professional with a background in verifying insurance
benefits and creating appropriate patient documentation. An established
Insurance Verification Specialist known for handling various office tasks
with undeniable ease.

Overview

12
12
years of professional experience

Work History

CSR1

Quest Diagnostics
08.2020 - Current
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Excellent communication skills, both verbal and written.
  • Worked well in team setting, providing support and guidance.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Organized and detail-oriented with a strong work ethic.
  • Learned and adapted quickly to new technology and software applications.
  • Developed and maintained courteous and effective working relationships.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Claim Benefit Specialist

TMA Benefit Services
01.2016 - 06.2020
  • Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
  • Optimized workflow processes to minimize delays in benefit payments while maintaining regulatory compliance.
  • Spearheaded system improvements that led to more efficient data entry processes and reduced errors in claims management.
  • Expedited claim settlements to policyholders by effectively negotiating with legal representatives and third-party administrators.
  • Improved customer satisfaction by providing timely and accurate benefit information to policyholders.
  • Conducted quality assurance reviews on completed claims, maintaining high standards of accuracy and consistency across the team.
  • Provided exceptional customer service during difficult conversations regarding denied or terminated benefits, offering empathy while upholding company policies.
  • Reduced claim resolution time with thorough investigation and prompt communication with involved parties.

Insurance Verification & Claims Specialist

BAYADA
01.2012 - 01.2016
  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
  • Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
  • Conducted full claim investigations and reported updates and legal actions.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.

Education

High School Diploma -

First Coast Technical College
Saint Augustine, FL
07.2006

Skills

  • Customer Service
  • Problem-solving abilities
  • Active Listening
  • Critical Thinking
  • Claims understanding
  • Claims evaluations
  • Microsoft Office
  • Claims Investigation
  • Time Management
  • Accuracy and Attention to Detail
  • Data accuracy
  • Data Entry
  • Patient Care
  • Documentation
  • HIPAA Compliance
  • Patient Scheduling
  • Medical terminology knowledge
  • Electronic Health Records
  • Benefits Explanation
  • Verbal and written communication

Timeline

CSR1

Quest Diagnostics
08.2020 - Current

Claim Benefit Specialist

TMA Benefit Services
01.2016 - 06.2020

Insurance Verification & Claims Specialist

BAYADA
01.2012 - 01.2016

High School Diploma -

First Coast Technical College

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Ke'Ara Butler