Kevetta Pettis
Killeen,TX
Summary
Analytical professional with technical knowledge and critical thinking skills to thrive in data-driven environments. Tackles challenges with positivity and drive to overcome. Works great alone or with others and consistently exceeds expectations.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Special Handling Analyst
Accenture
Austin, TX
07.2021 - Current
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
- Identified opportunities for process improvements across the organization.
- Identified needs of customers promptly and efficiently.
- Conducted detailed analysis on key trends and findings to summarize findings for leadership.
Provider Enrollment Specialist
Accenture
Austin, TX
10.2015 - 07.2021
- Maintained confidential provider documentation to prevent data compromise and comply with HIPAA regulations.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Responded promptly to inquiries from providers regarding their status within the network.
- Handled new enrollments by entering customers' data and reviewing information.
Insurance Collection Specialist
Financial Corporation of America
Austin, TX
05.2015 - 10.2015
- Processed electronic remittances from insurers into practice management systems.
- Performed outbound calls to collect past due balances from insurance companies or other third parties.
- Researched claims status, denials and appeals in order to resolve payment issues with insurance companies.
- Answered customer questions regarding account discrepancies or problems.
Billing Specialist
Medical Express PSI
Austin, TX
11.2014 - 04.2015
- Computed credit terms, discounts and shipment charges for goods or services to complete billing documents.
- Charged expenses to accounts and cost centers by analyzing invoice and expense reports.
- Reviewed vendor documentation to comply with payment guidelines.
- Managed all payments processing, invoicing and collections tasks.
Denial Coordinator
Centene Corporation
Austin, TX
04.2013 - 09.2014
- Analyzed trends in denials for potential process improvement opportunities.
- Tracked progress on appeals throughout the resolution process.
- Create and send denial letters from the Nurses and/or Medical Directors.
- Schedule physician-to-physician calls regarding denied authorizations.
Referral Specialist
Centene Corporation
Austin, TX
08.2011 - 04.2013
- Maintained files for referral and insurance information, entering referrals into system.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Answered questions and responded to inquiries to deliver high level of service to providers.
- Educated healthcare professionals on how to properly submit a request for pre-authorization.
Education
Bachelor of Science - Business Administration, Healthcare Management
Western Governors University
Salt Lake City, UT06-2026
Associate of Applied Science - Medical Insurance Billing And Coding
Vista College
Killeen, TX01.2019
Skills
- Regulatory Compliance
- Deadline Adherence
- Multiple Priorities Management
- Data Research and Validation
- MS Excel
- Evidence-Based Decision Making
- Information Gathering
- Process Improvements
- Data Integrity Assurance
- Team Collaboration and Leadership
Certification
Certified Billing & Coding Specialist (CBCS)
References
References available upon request.
Timeline
Special Handling Analyst
Accenture
07.2021 - Current
Provider Enrollment Specialist
Accenture
10.2015 - 07.2021
Insurance Collection Specialist
Financial Corporation of America
05.2015 - 10.2015
Billing Specialist
Medical Express PSI
11.2014 - 04.2015
Denial Coordinator
Centene Corporation
04.2013 - 09.2014
Referral Specialist
Centene Corporation
08.2011 - 04.2013
Bachelor of Science - Business Administration, Healthcare Management
Western Governors University
Associate of Applied Science - Medical Insurance Billing And Coding
Vista College