Summary
Overview
Work History
Education
Skills
References
Timeline
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Mackenzie Brown

Summary

Detail-oriented Claims Analyst with expertise in claims processing, data analysis, and regulatory compliance. Demonstrates strong problem-solving and negotiation skills to enhance stakeholder interactions. Effectively navigates complex claims to deliver accurate and timely resolutions.

Overview

6
6
years of professional experience

Work History

Coordination of Benefits Analyst

Machinify
La Grange
11.2023 - Current
  • Utilize claims systems and establish resources to determine coordination of benefits and potential claim overpayments for members covered by more than one health insurance plan.
  • Conducted extensive phone outreach to healthcare providers and insurance companies to facilitate coordination of benefits.
  • Performed detailed audits of denied claims for compliance with contractual terms and applicable laws.
  • Developed and managed client relationships to enhance success rate of insurance recovery claims.
  • Maintained client information database, ensuring accurate contact details and comprehensive activity logs for effective claims management.

Oral and Maxillofacial First Assist

East Louisville Oral Surgery
Louisville
05.2021 - 11.2023
  • Completed and verified paperwork for surgeries and sedation, ensuring accuracy of anesthesia records, drug cards, and consent forms while confirming patient understanding.
  • Monitored patient recovery from sedation and issued prescriptions with dosage instructions, providing comprehensive home care instructions to support patient recovery.
  • Monitored emergency situations and responded to patient needs.

Insurance & Billing Coordinator

Dupont Pediatric Dentistry
Louisville
12.2020 - 05.2021
  • Inspected monthly accounting records to identify and resolve discrepancies, ensuring accuracy and compliance.
  • Maintained accurate and compliant bookkeeping records, supporting organizational financial integrity.
  • Inspected accounting records on monthly basis to identify and resolve discrepancies.
  • Cultivated relationships and communicated with key client personnel to enhance understanding of business operations and processes.

Education

Bachelor of Science - Health and Human Services

Western Kentucky University
Bowling Green, KY

Skills


  • Claims processing
  • Benefits coordination
  • Payment reconciliation
  • Data analysis
  • Microsoft Office
  • Analytical Thinking
  • Attention to Detail

References

References available upon request

Timeline

Coordination of Benefits Analyst

Machinify
11.2023 - Current

Oral and Maxillofacial First Assist

East Louisville Oral Surgery
05.2021 - 11.2023

Insurance & Billing Coordinator

Dupont Pediatric Dentistry
12.2020 - 05.2021

Bachelor of Science - Health and Human Services

Western Kentucky University
Mackenzie Brown