Kreniece Hall
Euless,TX
Summary
Resourceful Supervisor trained in resolution of critical issues within time-sensitive environment with successful track record of building and maintaining talented teams. Highly organized, energetic and versatile leader committed to continuous improvements. Proven history of motivating staff to work together to achieve targets.
Overview
11
11
years of professional experience
Work History
Supervisor Insurance Analyst II (Remote)
AbbVie Medical
North Chicago, IL
11.2021 - Current
- Directed and supervised team of 15 employees in daily operations.
- Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
- Monitored employee productivity levels on a regular basis to identify areas of improvement.
- Reviewed claims data to assess accuracy of premium calculations and identified areas where corrective action was needed.
- Analyzed patient records to determine eligibility for coverage, benefit levels, and other related matters.
Lead Insurance Specialist I
Baylor Scott & White
Irving, TX
05.2020 - 11.2021
- Train, mentor and coach junior team members
- Supervise a team of Insurance Verification Specialists to ensure they are delivering high quality performance to our patients and clients
- Resolved escalated customer complaints or queries promptly and efficiently.
- Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
Medical Claims Specialist
HMS
Irving, NtxY
04.2018 - 05.2020
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions
- Determined covered insurance losses by studying provisions of policies or certificates
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
Insurance Claims Specialist
Methodist Healthcare
Mansfield, PtxA
05.2017 - 04.2018
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
- Determined liability, compensability and benefits due on each claim.
- Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
- Tracked and reported on patterns of claims and repeat offenders to help eliminate system abuse.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
Billing Specialist
Dr. Ben Deheshi, Orthopedic
Fort Worth, TX
03.2015 - 04.2017
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Managed numerous client accounts to track and collect money owed.
- Input payment history and other financial data to keep customer accounts up-to-date in system.
Patient Access Representative
JPS Health Network
Fort Worth, TX
04.2013 - 03.2015
- Applied HIPAA privacy and security regulations while handling patient information
- Verified demographics and insurance information to register patients in computer system
- Organized and maintained records by updating and obtaining both personal and financial information from patients
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Education
Associate of Applied Science - Business And Healthcare Management
College Of Healthcare Professions
11.2024
High School Diploma -
Juan Seguin High School
Arlington, TX05.2011
Skills
- Information Verification
- Customer Service
- Account Management Software
- Staff Management
- Operations Management
- Training and Mentoring
- Teamwork and Collaboration
- Background in Insurance
- Account Management Expertise
Timeline
Supervisor Insurance Analyst II (Remote)
AbbVie Medical
11.2021 - Current
Lead Insurance Specialist I
Baylor Scott & White
05.2020 - 11.2021
Medical Claims Specialist
HMS
04.2018 - 05.2020
Insurance Claims Specialist
Methodist Healthcare
05.2017 - 04.2018
Billing Specialist
Dr. Ben Deheshi, Orthopedic
03.2015 - 04.2017
Patient Access Representative
JPS Health Network
04.2013 - 03.2015
Associate of Applied Science - Business And Healthcare Management
College Of Healthcare Professions
High School Diploma -
Juan Seguin High School
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