Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Laura Bailey

Forney

Summary

Medical Claims Specialist with extensive experience at IQVIA, specializing in data analysis and customer service. Demonstrated expertise in medical terminology and quality assurance, leading to effective resolution of discrepancies and improved processing efficiency. Proactive approach and strong organizational skills consistently surpassed service goals, resulting in timely claim resolutions and increased client satisfaction.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Medical Claims Specialist

IQVIA
01.2022 - Current
  • Reviewed medical claims for accuracy and compliance with policies.
  • Resolved discrepancies between provider and payer information efficiently.
  • Analyzed claim data to identify trends and improve processing efficiency.
  • Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
  • Audited provider bills for accuracy before submission to insurance companies.
  • Resolved issues related to denied or underpaid claims in a timely manner.
  • Verified patient eligibility for medical claims and determined benefit coverage.

Medicaid Quality Control

Maximus
05.2020 - 07.2025
  • Completed day-to-day duties accurately and efficiently.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Maintained updated knowledge through continuing education and advanced training.
  • Exceeded customer satisfaction by finding creative solutions to problems.
  • Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.

Safety Supervisor

Amazon.com
Dallas
03.2019 - 11.2021
  • Inbound/Outbound Dock Clerk
  • Monitor Stow and Pick rate
  • Train New Hires utilizing various training techniques leading a solid and tenured staff
  • Record New Hires rates and report back to management
  • Conducted safety and hazard inspections of work sites
  • Monitored safety of all construction activities, making on-site personnel protection top priority
  • Supervised main work areas within the company and removed debris to prevent accidents and mishaps
  • Reviewed records and staff position requirements to schedule employees for appropriate OSHA training
  • Conducted regular inspections of facilities to check compliance with fire, hazard and safety guidelines
  • Examined hazardous incidents and accidents to uncover causes and provided corrective actions
  • Supervised safety audits and oversaw investigations into plant quality issues

Education

Pharmacy Technician -

Remington College
Dallas, TX
02.2017

Skills

  • Forklift operation
  • Order picking
  • Packaging and shipping
  • RF scanning
  • Warehouse distribution
  • Data entry and order entry
  • Customer service
  • Microsoft Office proficiency
  • Clinical pharmacy experience
  • Inventory control
  • Load and unload operations
  • Medical terminology expertise
  • Quality assurance practices
  • Supervisory experience

Certification

  • First Aid Certification
  • Pharmacy Technician Certification

Timeline

Medical Claims Specialist

IQVIA
01.2022 - Current

Medicaid Quality Control

Maximus
05.2020 - 07.2025

Safety Supervisor

Amazon.com
03.2019 - 11.2021

Pharmacy Technician -

Remington College

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