MyKiba Stallworth
Charlotte,NC
Summary
Dedicated Insurance Specialist with 10 years of experience at Charlotte Eye, Ear, Nose and Throat, specializing in claims investigation and medical billing. Proven ability to manage high caseloads while maintaining effective communication and meticulous documentation practices. Highly organized and adaptable with strong planning and problem-solving skills that consistently drive successful outcomes. Committed to embracing challenges and delivering exceptional results, ensuring the highest standards of service and efficiency.
Overview
12
12
years of professional experience
Work History
Insurance Specialist
Charlotte Eye, Ear, Nose and Throat
Charlotte, USA
11.2016 - Current
- Verify coverage and eligibility for medical services
- Coordinated communication with insurance providers and patients to resolve inquiries and ensure clarity
- Review claims and correct any missing or inaccurate information
- Investigated and appealed denied claims, resolving discrepancies to facilitate timely reimbursements
- Managed and filed all St Jude claims, ensuring patients received no unexpected bills
- Use EPIC to prepare and transmit claims
- Properly document patient interaction to ensure an accurate patient database
Insurance Specialist/Reimbursement Counselor
AmerisourceBergen/Lash Group
Charlotte, USA
10.2015 - 07.2016
- Communicated with commercial, Medicare, and Medicaid insurance companies to collect and review patient benefit information, ensuring accurate claim submissions.
- Provided referral, prior authorization, and appeals assistance to facilitate patient access to necessary services.
- Processed medical billing and coding for insurance claims, contributing to timely reimbursements and minimizing claim denials.
- Properly document patient interaction to ensure an accurate patient database
Insurance Specialist/Patient Care Advocate
Express Scripts
Charlotte, USA
08.2014 - 09.2015
- Managed customer service inquiries from members, providers, physicians, and internal/external clients regarding pharmacy benefits, enhancing member satisfaction
- Documented patient interactions accurately to maintain a reliable patient database for improved care coordination
- Monitored productivity standards and performance guarantees, contributing to consistent service quality
Education
Ashford University
05-2011
University of Phoenix
01.2008
Central Piedmont Community College
05-2000
University of North Carolina At Greensboro
05-1999
Skills
- Medical coding knowledge
- Medical billing
- Claims investigation
- Credentialing
- EPIC
- Waystar
- OnBase
- Truist/MediStreams
- Attention to detail
- Documentation skills
- Problem solving
- Time management
Timeline
Insurance Specialist
Charlotte Eye, Ear, Nose and Throat
11.2016 - Current
Insurance Specialist/Reimbursement Counselor
AmerisourceBergen/Lash Group
10.2015 - 07.2016
Insurance Specialist/Patient Care Advocate
Express Scripts
08.2014 - 09.2015
Ashford University
University of Phoenix
Central Piedmont Community College
University of North Carolina At Greensboro