Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Mnizay McCall

Florence,SC

Summary

Detail-oriented Medical Claims Examiner with a strong focus on HIPAA compliance and data entry efficiency. Proven ability to analyze claims data and collaborate with healthcare providers to resolve discrepancies effectively.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Medical Claims Examiner

Molina Healthcare
Remote
11.2025 - Current
  • Analyzed claims data to identify fraud, waste, and abuse trends.
  • Evaluated medical claims for accuracy and compliance with industry standards.
  • Collaborated with healthcare providers to resolve claim discrepancies efficiently.
  • Led training sessions for new staff on claims processing procedures and best practices.

Customer Service Representative

Teleperformance
Remote
06.2024 - 09.2025
  • Resolved customer inquiries efficiently through various communication channels.
  • Provided accurate information regarding products, services, and policies to customers.
  • Assisted in training new team members on customer service protocols and systems.
  • Maintained detailed records of customer interactions and transactions for future reference.

Team Member

Sky Zone Trampoline Park
Florence, SC
12.2022 - 03.2024
  • Facilitated guest check-ins, ensuring smooth and efficient entry processes.
  • Assisted in training new team members on operational procedures and customer service standards.
  • Monitored trampoline safety protocols, maintaining a secure environment for all patrons.
  • Managed equipment maintenance schedules, enhancing overall facility operations and safety compliance.

Crew Member

Taco Bell Restaurant
Florence, SC
02.2020 - 11.2022
  • Delivered exceptional customer service in fast-paced environment, ensuring satisfaction and loyalty.
  • Operated point-of-sale system accurately, processing orders and handling cash transactions efficiently.
  • Prepared food items according to Taco Bell standards, adhering to safety and quality protocols.
  • Collaborated with team members to maintain cleanliness and organization of dining and kitchen areas.

Education

No Degree - Respiratory Care

Florence-Darlington Technical College
Florence, SC
04-2028

High School Diploma -

South Florence High School
Florence, SC
05-2024

Skills

  • Claims analysis
  • HIPAA compliance
  • Documentation review
  • Claims analysis
  • Cross-functional collaboration
  • Claim documentation review
  • Data analysis
  • Customer service

Certification

Data Entry

Claims Review & Processing

Microsoft Office Suite Proficiency

Time Management

Timeline

Medical Claims Examiner

Molina Healthcare
11.2025 - Current

Customer Service Representative

Teleperformance
06.2024 - 09.2025

Team Member

Sky Zone Trampoline Park
12.2022 - 03.2024

Crew Member

Taco Bell Restaurant
02.2020 - 11.2022

No Degree - Respiratory Care

Florence-Darlington Technical College

High School Diploma -

South Florence High School
Mnizay McCall