Keyshawnna Rogers
Baton Rouge,LA
Summary
Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 8 years of experience and willingness to take on any challenge. 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
11
11
years of professional experience
Work History
Appeal Specialist
Blue Cross And Blue Shield Louisiana
11.2020 - Current
- Compiles with all policies and Standards
- Performs data entry to support the tracking, logging and processing of appeals
- Gathers appeals, disputes and reconsiderations data to track and report on trends and final outcomes to the team including conducting outreach for update on statuses, determinations and explanations
- Prepares correspondence for appeals, disputes and reconsiderations and maintain documentation files
- Prepares case files including supporting Documentation and determinations needed to review, process and report reconsiderations and appeals
- Conduct research needed to process and respond to appeals
Grievance Appeals Specialist
Humana
02.2016 - 11.2020
- Enhanced grievance appeals efficiency by streamlining processes and implementing best practices.
- Reduced case backlog significantly through diligent review and resolution of pending grievances.
- Improved customer satisfaction rates by providing timely and empathetic responses to appeals inquiries.
- Conducted thorough investigations for complex cases, ensuring fair and accurate outcomes.
Correspondence Specialist
Teleperformance
05.2013 - 01.2016
- Enhanced communication between departments by drafting and distributing internal memos and announcements.
- Boosted company reputation by ensuring professional and error-free written communications with clients, vendors, and partners.
- Streamlined correspondence processes by implementing efficient filing systems for both physical and electronic documents.
- Reduced response time to inquiries by prioritizing emails, letters, and phone calls from customers, stakeholders, or colleagues.
- Ensured accuracy of information provided to clients by thoroughly researching topics before composing responses.
- Delivered high-quality results under tight deadlines by effectively managing multiple tasks simultaneously.
Education
High School Diploma -
East Feliciana High School
Jackson, LASkills
- Appeals Processing
- Verbal Communication
- Medical Coding
- Claims Management
- Time Management
- Analytical Thinking
- Multitasking
- Organizational Skills
- Attention to Detail
Timeline
Appeal Specialist
Blue Cross And Blue Shield Louisiana
11.2020 - Current
Grievance Appeals Specialist
Humana
02.2016 - 11.2020
Correspondence Specialist
Teleperformance
05.2013 - 01.2016
High School Diploma -
East Feliciana High School
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