Summary
Overview
Work History
Education
Skills
Timeline
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KENDRA GRAHAM

West Allis,WI

Summary

Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.

Overview

11
11
years of professional experience

Work History

Medical Claims Analyst

United Healthcare
09.2019 - Current
  • Assessed medical claims for compliance with applicable laws and regulations
  • Analyzed medical claims for accuracy and completeness
  • Monitored medical claims processing for adherence to established standards
  • Researched and resolved complex medical claims issues.

Senior Retention Specialist

US Cellular
12.2013 - 07.2019
  • Assisted with complaint gap analyses and risk assessments
  • Conducted quality control reviews on complaint data and addressed results with colleagues to influence positive change
  • Analyzed complaint data to identify root causes, trends, issues, and regulatory concerns
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.

Education

High School Diploma -

Learning Enterprise
06.2001

Skills

  • Record Keeping
  • Proficiency in MS Office
  • Insurance Verification
  • Problem solving
  • ICD-10-CM and CPT codes
  • Risk Management
  • Analyst Skills
  • Critical Thinking
  • HIPAA
  • Fraud detection techniques
  • Medical record review
  • Insurance claims processing

Timeline

Medical Claims Analyst

United Healthcare
09.2019 - Current

Senior Retention Specialist

US Cellular
12.2013 - 07.2019

High School Diploma -

Learning Enterprise

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KENDRA GRAHAM