Kendra Axtmann
Cincinnati
Summary
- Looking to obtain an entry-level and or professional position utilizing my skill set.
- Work well in high pressure environment. Well- organized and efficient. Trained in all areas of customer service. Working knowledge of computers. Live Chat Experience/Emails Encoding experience Over 10 years of customer service experience. Dependable- can work without supervision. Able to handle multiple projects concurrently. Major strengths in planning, problem Solving and communication Facets
- Dos systems Citrix
- AS400
- Medical terminology
- HIPAA
- Salesforce EOB DocuSign File Bound SAP ALM Ticketing System Nice System
Overview
10
10
years of professional experience
2005
2005
years of post-secondary education
Work History
Cash Applied Coordinator-Hybrid
ESSILOR LUXOTTICA
07.2023 - Current
- Ensure timely processing of cash to outstanding invoice (EOB)
- Apply payments in SAP, AS400 for Rotine vision and medical Claims
- Provide daily status updates to management
- Research and apply cash
- Identify and document denials
- Communicate with internal and external partners to ensure all cash is applied Accurately and on time
Insurance Claims Processor
Insight Global
10.2022 - 09.2023
- Verify Claims details against policy terms and coverage limits
- Collaborate with other departments e.g, underwriting, Claims adjusters
- Calculate payout and updated policy amounts according to policy and coverage
- Process Denials when Claims do not meet coverage requirements Document the reason
Appointment Specialist
VIVA
01.2022 - 06.2023
- Create and setup Commissions
- Document Review
- Develops, maintains, and monitors reports
- Monitors system work queues
- Builds, enhances, and maintains all current broker information including appointment status, commission, payment information, and contact information
- Maintains effective, on-going communication with key customer interfaces, including client sales and account management and broker representatives.
- (EyeMed)
Claims Resolution Analysts and Adjudication
Teksystems
10.2021 - 09.2022
- Reviews insurance claims received electronically or in written form. Reviews claim and associated history.
- Evaluates available information to validate claims and decision them based on an approved procedure.
- Investigates simple to moderately complex claims and determines level or resolution if appropriate
- Identifies need for additional information; contacts appropriate source to obtain needed information.
- Adjudicated Claims
- Submit tickets
Account Support Coordinator
Teksystems
07.2021 - 02.2022
- Review sales contracts
- Process and Input various sales contract make sure each is delivered to clients
- Work closely with Sales Managers
- Use excel reports to verify dollar amounts were accurate
- Negotiate sales price with clients
- (Elsiever/ Lexisnexis)
Medical Information Coordinator
Employvision
02.2021 - 06.2021
- Data entry of patient information
- Transfer calls to Medical Specialist
- Answer Covid 19 inquiries via email / phone
- Educate Doctors, Pharmacists and patients about Monoclonal antibodies and Regen-Cov vaccines.
- Assist in reporting Adverse events and product complaints.
- (Eversana)
Credentialing Coordinator
Collabera
09.2020 - 01.2021
- Document Review-Contracts
- Receive, research and process provider location request change
- Terminate and Activate locations
- Evaluate provider data
- Resolve complex provider data maintenance issues and request.
- Verify, update provider licensing and credentials
- (Luxottica Eyemed)
Pharmacy Technician
CVS Pharmacy
Cincinnati
12.2019 - 04.2020
- Intake of written and electronic prescriptions.
- Billing insurance.
- Accurately counting and dispensing medications.
- Assisting customers with the purchase of their medications.
- Work with Facets Systems
Broker Operations
Collabera
Mason
08.2019 - 02.2020
- Maintains the current broker data in salesforce.com
- Develops, maintains, and monitors reports for departmental standards and requirements.
- Monitors system work queues
- Builds, enhances, and maintains all current broker information including appointment status, commission payment information, and contact information
- Maintains effective, on-going communication with key customer interfaces, including client sales and account management and broker representatives.
- Effectively manages multiple lines of communication including face-to-face, email and phone interactions.
- Maintains a working knowledge of interface systems that include salesforce.com
- Create and setup Commissions
- Worked in Finance, apply, reverse and balance payments.
- Document Review
- Work with Facets systems
- (Luxottica, EyeMed)
Claims Analyst / Review / Quality Control Specialist
Epiq
Loveland
03.2019 - 08.2019
- Claims auditor I and II
- Process Claims/ Audit Claims
- Review Medical Records
- Follow Hipaa Guidelines
- Keep Track of Claims on Excel Spreadsheet EDI
- Document Review
- (Garretson Resolution Group)
Customer Management Specialist
Collabera
Mason
09.2018 - 03.2019
- Maintains the integrity of current broker data in salesforce.com
- Develops, maintains, and monitors reports for departmental standards and requirements.
- Monitors system work queues and responds internal stakeholders and external clients drive satisfaction.
- Builds, enhances, and maintains all current broker information including appointment status, commission payment information, and contact information
- Maintains effective, on-going communication with key customer interfaces, including client sales and account management and broker representatives.
- Effectively manages multiple lines of communication including face-to-face, email and phone interactions.
- Maintains a working knowledge of interface systems that include salesforce.com and Business Objects/SAP.
- Supports client projects and initiatives as needed.
- Document Review
- Work with Facets
- (Luxottica, EyeMed)
Claims Analyst / Quality Control Specialist
Insight Global
Loveland
02.2018 - 09.2018
- Claims auditor I and II
- Process Claims/ Audit Claims
- Review Medical Records
- Follow HIPAA Guidelines
- Keep Track of Claims on Excel Spreadsheet EDI
- Document Review
- (Garretson Resolution Group)
Plan setup Specialist
ICONMA
Cincinnati
10.2017 - 01.2018
- Set up vision plans for Small Businesses
- Responsible for setting up and maintaining clients in the claims processing system.
- Implementation Maintenance
- Data entry
- Evaluating new requests and performing audits.
- Worked Factes systems
Agency Service representative
Populous
Cincinnati
06.2017 - 09.2017
- Data Entry of Brokers client information
- Inbound calls from Broker
- Outbound calls to Broker
- Assisting Agents and Brokers in/out of network
- Knowledge explanation of benefits
- Process applications for, change, cancellations of insurance policy
- Review insurance applications to ensure all questions have been answered
- Claims processing, Appeals Processing and Payment processing
- Cancel insurance policies as requested by agent.
- E-mail/fax/ scans ID cards, EOB and Billing statements
- Assist with quotes in/out of network plans
Broker service Specialist
Smart IT
Cincinnati
10.2016 - 05.2017
- Data Entry
- Inbound/ Outbound calls
- Assisting Agents and Brokers
- Knowledge explanation of benefits
- Process applications for, change, cancellations of insurance policy
- Review insurance applications to ensure all questions have been answered
- Claims processing, Appeals Processing and Payment processing
- Cancel insurance policies as requested by agent.
- E-mail/fax/ scans ID cards, EOB and Billing statements
- Assist with quotes in/out of network plans
- Work with Facets
Recruiter
Ajilon
Anderson Township
03.2016 - 10.2016
- Data entry of participants in Charity event
- Inbound/outbound calls for Charity events
- File recruits information and Tentative schedules
- Marketing
Payroll Analysts
CM Personnel
Norwood
09.2015
- Data entry of payroll information
- Add/ remove deductions
- Process company’s payroll
- Excel spreadsheet
- Correct payroll issues
- Remove and add employees to payroll
Education
Brown Mackie College -
Brown Mackie College
Fort Mitchell, KentuckySkills
- Dos systems
- Citrix
- AS400
- Medical terminology
- HIPAA
- Salesforce
- EOB
- DocuSign
- File Bound
- SAP
- ALM Ticketing System
- Nice System
Timeline
Cash Applied Coordinator-Hybrid
ESSILOR LUXOTTICA
07.2023 - Current
Insurance Claims Processor
Insight Global
10.2022 - 09.2023
Appointment Specialist
VIVA
01.2022 - 06.2023
Claims Resolution Analysts and Adjudication
Teksystems
10.2021 - 09.2022
Account Support Coordinator
Teksystems
07.2021 - 02.2022
Medical Information Coordinator
Employvision
02.2021 - 06.2021
Credentialing Coordinator
Collabera
09.2020 - 01.2021
Pharmacy Technician
CVS Pharmacy
12.2019 - 04.2020
Broker Operations
Collabera
08.2019 - 02.2020
Claims Analyst / Review / Quality Control Specialist
Epiq
03.2019 - 08.2019
Customer Management Specialist
Collabera
09.2018 - 03.2019
Claims Analyst / Quality Control Specialist
Insight Global
02.2018 - 09.2018
Plan setup Specialist
ICONMA
10.2017 - 01.2018
Agency Service representative
Populous
06.2017 - 09.2017
Broker service Specialist
Smart IT
10.2016 - 05.2017
Recruiter
Ajilon
03.2016 - 10.2016
Payroll Analysts
CM Personnel
09.2015
Brown Mackie College -
Brown Mackie College