Kinnyetta Smith
Brookhaven,MS
Summary
Efficient Claims Processor, known for high productivity and task completion. Possess specialized skills in claims analysis, documentation verification, and regulatory compliance ensuring smooth operation flow. Excel in time management, problem-solving, and communication, leveraging these soft skills to effectively manage workloads and facilitate clear interactions with all stakeholders. Recognized for Trustworthiness, loyalty, reliability, and achieving results in a team environment.
Overview
8
8
years of professional experience
Work History
Claims Processor
CorVel Corporation
Jackson, MS
11.2022 - 12.2024
- Communicated with policyholders to explain claim decisions and answer inquiries.
- Evaluated the validity of assigned claims by verifying that services are medically necessary according to established guidelines.
- Resolved complex issues associated with denied or underpaid claims through negotiation with payers.
- Adhered to all applicable laws, regulations, and company standards while processing claims.
Data Entry Specialist/Insurance Verification Specialist
Change Healthcare/RemX-Remote
08.2023 - 10.2024
- B2B customer relations
- Performs review and analysis of incoming contractual documents for completeness, historical activity, and timely, accurate provider record set-up and data entry
- Executes appropriate contractual documents; updates network affiliations in the provider database to reflect participation status, requests correspondence to providers to communicate contract status and effective dates
- Entered patient demographics, insurance information, diagnosis codes, and other relevant data into computerized database.
Billing Specialist
Baptist Memorial Health Care - remote
03.2022 - 10.2023
- Provides subject matter expertise on billing and coding guidelines and regulations as required by the department
- Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution
- Outbound calling, Keep records of customer interactions, process customer accounts and file documents
- Reviews, researches, and initiates the resolution of billing errors
- Submitted claims to insurance companies.
Customer Service Representative
MAGNOLIA HEALTHCARE-Remote
01.2019 - 03.2022
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Gather patient intake paperwork, set appointments, make outbound calls to providers or clients, send and receive correspondence, enter data, and maintain referral files.
- Often responsible for reviewing submitted documents to make sure patients have the proper information for billing purposes.
- Handled escalated customer concerns regarding billing and claims with empathy and professionalism.
Customer Service Representative
Marsh McLennan Agency
Ridgeland, MS
11.2016 - 12.2018
- Maintaining a positive, empathetic, and professional attitude toward customers at all times.
- Communicating with customers through various channels.
- Acknowledging and resolving customer complaints.
- Processing orders, forms, applications, and requests.
- Keeping records of customer interactions, transactions, comments, and complaints.
- Ensure customer satisfaction, and provide professional customer support.
Education
Bachelor's degree - Business
University of Phoenix
Phoenix, AZ06-2025
Associate's degree - Business
University of Phoenix
Phoenix, AZ04.2023
High school or equivalent -
Franklin county high school
Meadville, MS05.2014
Skills
- Claims Processor
- Data Entry Specialist
- Insurance Verification Specialist
- Customer Service Representative
- Billing Specialist
- Inbound and outbound calling
- Typing proficiency: 45 wpm
- Microsoft Office
- Medical billing
- Time Management
- Microsoft Excel
Timeline
Data Entry Specialist/Insurance Verification Specialist
Change Healthcare/RemX-Remote
08.2023 - 10.2024
Claims Processor
CorVel Corporation
11.2022 - 12.2024
Billing Specialist
Baptist Memorial Health Care - remote
03.2022 - 10.2023
Customer Service Representative
MAGNOLIA HEALTHCARE-Remote
01.2019 - 03.2022
Customer Service Representative
Marsh McLennan Agency
11.2016 - 12.2018
Bachelor's degree - Business
University of Phoenix
Associate's degree - Business
University of Phoenix
High school or equivalent -
Franklin county high school
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