Mackenzie Muurphy
Louisville,KY
Summary
Seasoned Medicare Insurance Specialist with excellent planning and problem solving abilities. Offering 4 years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
14
14
years of professional experience
Work History
Grievance Appeals Specialist
Humana
Louisville, KY
03.2023 - Current
- Drafted written reports summarizing findings from investigations and appealed cases.
- Reviewed patient records to ensure accuracy of information and completeness of documentation for Medicare claims processing.
- Submitted electronic and paper-based Medicare claims using appropriate coding conventions.
- Validated Medicare eligibility requirements for beneficiaries prior to submitting claims.
Restaurant Server
Rumors Sports Bar And Grill
Louisville, KY
06.2013 - Current
- Provided menu recommendations and answered questions regarding food ingredients and preparation methods.
- Attended to guests needs in a timely manner, ensuring satisfaction throughout their dining experience.
- Greeted and seated customers promptly, courteously, and professionally.
Provider Services Representative
Passport Health Plan
Louisville, KY
12.2010 - 06.2024
- Provided customer service to clients regarding their insurance coverage and billing inquiries.
- Processed claims and coordinated with providers, payers, and other third parties as necessary.
- Resolved customer complaints and escalated more complex issues to senior staff members.
Education
Associate of Arts - Restaurant Management
Sullivan University
Louisville, KYSkills
- Issue Identification
- Workflow Management
- Strong Analytical Skills
- Problem-Solving Capabilities
Affiliations
- enjoy gardening
- playing with my dog
- DIY projects around my home
Timeline
Grievance Appeals Specialist
Humana
03.2023 - Current
Restaurant Server
Rumors Sports Bar And Grill
06.2013 - Current
Provider Services Representative
Passport Health Plan
12.2010 - 06.2024
Associate of Arts - Restaurant Management
Sullivan University