Megan Chambers
Delta Air Lines, Inc
11
years of professional experience
Results-driven professional in high-volume case management and conflict resolution. Enhances operational efficiency through strategic process improvements and innovative solutions. Navigates complex situations focused on client satisfaction and organizational objectives. Fosters collaboration to drive success and improve outcomes.
Work History
Flight Attendant
3 Years 7 Months- Served 150–300+ passengers per flight, addressing concerns and delivering exceptional service that enhanced passenger satisfaction.
- Resolved 10–20 customer issues per flight through effective communication and problem-solving techniques.
- Resolved 10–20 customer issues per flight through effective communication and problem-solving, contributing to positive flight experiences.
- Maintained 100% accurate documentation of incidents, medical events, and operational reports, ensuring compliance with policies and regulations.
- Collaborated with cross-functional teams to manage time-sensitive situations, facilitating smooth operations and timely responses.
Risk Adjustment Specialist
5 Years 7 Months- Reviewed medical records weekly, ensuring HIPAA compliance for 75+ cases.
- Analyzed medical documents daily, verifying eligibility for 50+ case reviews.
- Reviewed medical records weekly for HIPAA compliance across 75+ cases.
- Coordinated with healthcare providers to secure documentation needed for timely case resolution.
- Resolved documentation discrepancies, enhancing processing speed by over 25 cases monthly.
- Maintained 98% accuracy in data entry and recordkeeping across multiple systems.
Provider Resolution Specialist
1 Year 8 Months- Resolved 80 provider inquiries weekly on claims eligibility and documentation issues, improving provider satisfaction.
- Coordinated with healthcare providers and internal teams to secure documentation, ensuring timely resolution of provider inquiries.
- Coordinated with healthcare providers and internal teams to secure documentation, resulting in timely resolution of inquiries.
- Investigated and resolved discrepancies in documentation and claims, enhancing compliance and accuracy of processes.
- Interpreted medical records, contracts, and policy guidelines to support accurate decision-making and compliance.
Education
Bachelor of Science - Health Administration
Skills
Customer service
Conflict resolution
Claims resolution and investigation
Provider and member relations
Case management
Process improvement
EHR systems and case tracking tools
Eligibility determination
Medical records review and analysis
HIPAA compliance
Timeline
Flight Attendant
Delta Air Lines, Inc
01.2023 - CurrentRead More
Risk Adjustment Specialist
Humana
06.2017 - 01.2023Read More
Provider Resolution Specialist
United Healthcare Group
10.2015 - 06.2017Read More
University of Southern Mississippi
Bachelor of Science from Health Administration
Read More