Keonia Kinney
Waxahachie,Tx
Summary
. Detail-oriented Medical Claims Processor and Licensed Adjuster knowledgeable about automated systems and variations in plan benefits. Resolves high number of claims with fast and accurate analyses. Dependable in using proper classifications and meticulous recordkeeping.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Logistics Coordinator
Eight Grand Transportation and Logistics
01.2018 - Current
- Planning the ongoing functions of the daily operations with receiving and shipping for transportation of loads
- Communicating with brokers and drivers to ensure products and goods are picked up and delivered in a timely manner
- Providing shipping details to customers, reviewing logs of drivers to make sure that compliance is followed per DOT/FMSCA regulations.
Account Resolution Specialist
Intermedix
01.2015 - 01.2018
- Responsible for billing VA/Tri-care and commercial claims on a daily basis
- Working correspondence to accurately update accounts working claims through billing system and billing process
- Working with remits with claim status to properly handle the account
- Running weekly reports to identify accounts that are delinquent
- Responsible for appeals, correcting claims, submitting clean claims, A/R reports and working with third party collections agencies
- Processing attorney correspondence and requests timely and accurately
- Interact with the coding department on denials to correct claims for re-submission of corrected claims.
Service Recovery Specialist
Humana/Aegis
01.2006 - 01.2011
- Receiving call from policyholders concerning eligibility, plan information, benefits prescription overrides, enrollment and dis-enrollment
- Accounts that have past due balances, payment arrangements
- Discussing prescriptions costs and Verification of insurance coverage.
Education
All Lines Claims Adjuster - Insurance Claims
Adjuster School
Katy, TX10-2023
Billing And Coding - Medical Insurance Billing
Concorde Career College
Grand Prairie, TX04-2002
Skills
- Building Client Relationships
- Insurance Verification
- Insurance Claims Management
- Hipaa
- Medical Terms And Procedure Knowledge
- Insurance Claims Processing
- Thorough Claims Reviews
- Insurance Regulations Knowledge
- Claims Handling
- Dispute Resolution
- Claims Investigation
- Claims Processing
- Workers' compensation claims
- Property claims
Skills Certifications Education
- The Adjuster School, All Lines Claims Adjuster/Licensed, 12/2023
- Concorde Career Inst, Insurance Billing and Coding, 04/2006
Certification
Ajuster - All Lines 3-11-2024
Timeline
Logistics Coordinator
Eight Grand Transportation and Logistics
01.2018 - Current
Account Resolution Specialist
Intermedix
01.2015 - 01.2018
Service Recovery Specialist
Humana/Aegis
01.2006 - 01.2011
All Lines Claims Adjuster - Insurance Claims
Adjuster School
Billing And Coding - Medical Insurance Billing
Concorde Career College
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