Years of medical claims processing experience
Kimberly L. Kerr
Anderson,IN
Summary
Hardworking Medical Claims Account Manager successful at processing medical claims and providing customer service in a fast-paced TPA environment. Organized and detail-oriented to handle multiple administrative tasks effectively. Offering five years of experience and willingness to learn new skills.
Overview
5
5
23
23
Years of customer service experience
Work History
Claims Account Manager
Unified Group Services
07.2018 - 08.2023
- Performed effectively in self-directed work environment
- Accurately processed medical claims (both manually data entering and electronic), striving for 5 day turnaround times
- Requested necessary documentation to resolve pended claims
- Responsible for seven TPA groups and following each Plan Document
- Met weekly and annual renewal deadlines for each group
- Detailed pertinent information in members' accounts
- Worked in team environment, assisting with team members' workloads
- Problem-solved in timely manner, coordinating with appropriate internal teams
- Answered calls and electronic correspondence from providers and members
- Complied with HIPAA
Recovery Care Specialist
Selah House
07.2022 - Current
- Provides care and builds relationships with residential clients with Eating Disorders to deliver emotional support
- Shift chart on each client's care and progress
- Coordinate with RCS team to divide responsibilities for each shift, while meeting clients' needs
- Transports and observes clients on outings for them to integrate real world experiences with their treatment
- Encourages clients during their difficult meal and snack times
- Enforces house rules & schedule for consistency in clients' treatment process
- Protects clients' safety
- HIPAA Compliant
Youth Director
New Horizons United Methodist Church
04.2015 - Current
- Implemented youth ministry program (6th-12th grades) including current youth ministry program (6th-12th grades) including current youth and community outreach and service
- Builds lasting relationships with youth and families
- Disciples individual youth on their faith journey
- Recruited, developed, and trained volunteers
- Plans and implements weekly youth ministry model, as well as special events
- Integrates Bible Study with faith and life issues relevant to youth
- Participates in life of church as role model for youth
Customer Service
Chick-fil-A
11.2015 - 05.2022
- Greeted guests in warm, welcoming and positive manner
- Served guests by taking orders, upselling, preparing drinks, delivering food, and checking on them
- Demonstrated attention to detail through accurate order taking and cash collections
- Operated register, while keeping area tidy and stocked with needed supplies
- Maintained clean restaurant environment by cleaning tables, restrooms, and floors
- Chick-fil-A Muncie earned Symbol of Success, (top award Chick-Fil-A restaurant can earn) 2 of these 6 years
Customer Service
Conduent, Formerly Xerox
01.2016 - 04.2018
- Managed over 40 calls per day for major wireless cell phone carrier
- Listened to customers, utilizing customer service techniques and de-escalation tactics
- Resolved issues related to: billing, payments, payment plans, and troubleshooting
- Assessed and transferred calls to appropriate departments when necessary
- Suggested best plans and products to meet customer needs
- Placed appropriate and accurate orders
- Notated details of interactions to keep customer accounts up to date
- Maintained stats that met and most often exceeded site's goal
Education
Masters of Divinity Graduate - Pastoral Care & Counseling/Christian Education
Anderson University School of Theology
Anderson, IN05.2008
Bachelor of Arts Graduate - Christian Ministries/Bible & Religion/Writing
Anderson University
Anderson, IN05.2000
Skills
- Claims Processing and Data Entry
- Medical History Documentation
- Reliability and Dedication
- Detail-Oriented
- Goal-Oriented
- Researching
- Verbal and Written Communication
- Organization and Time Management
- Punctual and Hardworking
- Word Processing
- Leadership
Timeline
Recovery Care Specialist
Selah House
07.2022 - Current
Claims Account Manager
Unified Group Services
07.2018 - 08.2023
Customer Service
Conduent, Formerly Xerox
01.2016 - 04.2018
Customer Service
Chick-fil-A
11.2015 - 05.2022
Youth Director
New Horizons United Methodist Church
04.2015 - Current
Masters of Divinity Graduate - Pastoral Care & Counseling/Christian Education
Anderson University School of Theology
Bachelor of Arts Graduate - Christian Ministries/Bible & Religion/Writing
Anderson University
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