Summary
Overview
Work History
Education
Skills
Timeline
Generic

Myshieka White

Conyers

Summary

Experienced Medical Claims Adjuster with a strong background in claims processing, negotiation, and adherence to health insurance regulations. Skilled in analytical assessment, problem solving, and detailed communication with providers to resolve claim issues effectively. Proven track record of meeting targets and delivering high-quality outcomes in the medical insurance sector.

Overview

14
14
years of professional experience

Work History

Member Service Representative

AAA Auto Club Group
Remote
12.2022 - Current
  • Provide cashiering services to members which includes taking and processing payments for insurance policies (installment, lapse or reinstatement), travel and sale of tickets, processing remittances/depository transfers and balancing cash drawer
  • Receive and resolve customer complaints
  • Respond to customer inquiries
  • Provide support services to members including greeting, servicing, and selling memberships
  • Dispatch calls for roadside assistance
  • Reconcile and resolve rudimentary payment issues and maintain related records
  • Monitor dispatched calls and take action to resolve and correct service problems
  • Close service requests using company electronic dispatching system

Intake Coordinator

Kforce Inc
Remote
06.2020 - 12.2022
  • Verified insurance details and processed payments for patient accounts
  • Updated and maintained provider rosters, ensuring accuracy of provider information
  • Added and terminated practitioner records as required, adhering to compliance guidelines
  • Verified and updated provider name, npi, office address, to ensure patients receive accurate information online
  • Verified and reviewed benefits with patients

Claims Adjuster

United Healthcare
Remote
09.2014 - 06.2020
  • Processed and priced medical claims, ensuring accurate adjustments and adherence to provider networks
  • Negotiated bill adjustments with providers, effectively minimizing claim costs
  • Conducted thorough investigations of claims, providing final determinations for approval or denial
  • Resolved discrepancies and issued written and verbal communication to providers on claim status
  • Contacted claimants for relevant information concerning their claims and accurately evaluated and processed claims under the insurance policy coverage

Customer Care Representative

Russell Tobin Staffing
07.2012 - 09.2014
  • Answered inbound calls on a dialer to place customer orders
  • Provided exceptional customer service, ensuring satisfaction with products and services
  • Researched tracking details to locate customer packages
  • Resolved lost package complaints

Education

Medical Billing Clerk

Gwinnett Technical College
Lawrenceville, GA
12-2026

Skills

  • Customer service
  • Relationship building
  • Financial transactions
  • Customer support
  • Dispute resolution
  • Point-of-sale system

Timeline

Member Service Representative

AAA Auto Club Group
12.2022 - Current

Intake Coordinator

Kforce Inc
06.2020 - 12.2022

Claims Adjuster

United Healthcare
09.2014 - 06.2020

Customer Care Representative

Russell Tobin Staffing
07.2012 - 09.2014

Medical Billing Clerk

Gwinnett Technical College
Myshieka White