Kristina Nance
Medical Insurance Specialis /Retail sale/MOD/Key Holder
Gaffney,SC
Summary
Dynamic professional with a proven track record at Belk Department Store, excelling in team motivation and store operations. Recognized for enhancing sales through effective merchandising and staff training. Adept at resolving customer issues with diplomacy while maintaining strict confidentiality in medical settings, showcasing strong analytical skills and adaptability.
Retail professional skilled in driving operational success and team leadership. Proven ability to manage store operations, optimize inventory, and enhance customer experiences. Valued for collaborative approach and adaptability in dynamic retail settings. Possesses strong organizational and communication skills.
Overview
7
7
years of professional experience
Work History
MOD/Key Holder/Cosmetics Sales Associate PT
Belk Department Store
11.2018 - Current
- Provided exceptional customer service by addressing inquiries, resolving issues, and ensuring a positive shopping experience.
- Enhanced store sales by implementing effective merchandising strategies and engaging customers with product knowledge.
- Handled escalated customer concerns with tactful diplomacy, often turning dissatisfied customers into loyal patrons.
- Maintained a clean, organized store environment by implementing regular cleaning schedules and following merchandising guidelines.
- Implemented visual merchandising changes according to corporate directives, resulting in an aesthetically pleasing shopping environment.
- Demonstrated expertise in product knowledge across various departments within the store, leading to improved upselling techniques among staff members.
Medical Insurance Specialist/Denial Specialist
Spartanburg Regional Medical Center
05.2022 - 06.2025
- Conducted thorough reviews of denied claims, identifying errors or missing information before resubmitting corrections for payment approval.
- Contributed to positive relationships with insurance companies through consistent follow-up and prompt issue resolution.
- Collaborated with medical staff to obtain necessary documentation for accurate claim submissions.
- Enhanced data accuracy by meticulously updating patient records and insurance information in the system.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and other applicable regulations in all aspects of the role.
- Streamlined claim submission process for faster turnaround times and reimbursement rates.
A/R Follow Up and Review
Conifer Health
01.2022 - 05.2022
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Education
High School Diploma -
Gaffney Senior High School
Gaffney, SC06-1993
Skills
- Team motivation
- Store operations
- Staff training and development
- Delegation and supervision
Timeline
Medical Insurance Specialist/Denial Specialist
Spartanburg Regional Medical Center
05.2022 - 06.2025
A/R Follow Up and Review
Conifer Health
01.2022 - 05.2022
MOD/Key Holder/Cosmetics Sales Associate PT
Belk Department Store
11.2018 - Current
High School Diploma -
Gaffney Senior High School
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