Nanette Brown
Kingman ,AZ
Overview
24
24
years of professional experience
Work History
Senior Claims Processor
AmeriBen/ Elevance Health
Boise, ID
05.2012 - Current
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Managed external vendor relationships, ensuring seamless coordination between parties involved in the claims process.
- Monitored regulatory compliance within the department, adhering to all relevant state and federal guidelines.
- Maintained detailed documentation for each processed claim, allowing for easy retrieval during audits or reviews.
- Managed high-volume caseloads, ensuring timely and accurate completion of claims processing tasks.
- Supported continuous improvement initiatives within the organization by suggesting innovative solutions to challenges faced in the claims process.
- Developed training materials for staff development, leading to increased productivity and team cohesion.
- Collaborated with cross-functional teams to improve overall claims management processes.
- Implemented new policies and procedures to enhance the overall efficiency of the claims department.
Dental Lab Technician
New West Dental Ceramics
Lake Havasu City, AZ
03.2010 - 09.2011
- Reduced turnaround time for dental appliances through effective time management and organization skills.
- Collaborated with dentists to create accurate and customized dental restorations for patients.
- Maintained a clean and organized laboratory workspace to uphold safety regulations and promote productivity.
- Completed detailed models of patients' mouths to create accurate devices.
- Verified appliance conformance with specifications and accuracy of occlusion using micrometers, articulators, and other tools.
Vet Technician
Banfield Pet Hospital
Upland, CA
06.2006 - 12.2009
- Handled challenging animal behavior situations calmly and effectively to ensure safety for all involved parties.
- Assisted in surgical procedures with proper preparation and sterilization techniques, ensuring a safe environment.
- Contributed to team collaboration through effective communication and cooperation with colleagues.
- Efficiently performed lab work, including blood draws, urinalysis, and fecal examinations for accurate diagnoses.
- Maintained clean and sanitary conditions within the clinic by following strict sanitation protocols and guidelines.
- Administered routine, post-operative and daily treatments to animals under direction and supervision of veterinarian.
- Managed appointment scheduling effectively to accommodate urgent cases while maintaining daily workflow balance within the clinic setting.
- Administered medications to animals in treatment and documented changes in condition.
- Provided care for animals before surgeries, administering anesthetics as necessary for overall comfort and health.
- Processed new patients and updated client records with key information using standardized registration systems and encrypted databases.
- Improved patient care by providing compassionate assistance during exams, surgeries, and medical procedures.
- Effectively communicated client concerns to veterinarians, resulting in more targeted treatment plans.
A-one Greeting Card Rep
A One Greeting Cards
Newport, Ca
05.2000 - 09.2004
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
- Enhanced company reputation by providing exceptional customer service and support.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
- Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere.
- Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
- Learned and followed all organizational policies and procedures to maintain safe and professional working environments.
- Assisted in training new hires and offered ongoing support to help them reach their full potential.
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
- Communicated with clients and customers to gather, provide and share updated information on products and services.
- Improved client retention rates by building strong relationships and offering personalized solutions to their needs.
- Managed a diverse portfolio of clients, ensuring that each received tailored solutions aligned with their specific requirements.
Education
A.S Degree - Veterinarian Technician
My San Antonio College
Pomona, CA07.2005
Certificate/ Diploma - Dental Front, And Chair Side Assisting
Bryman College
Rosemead, CA08.1986
Diploma -
Glendora High School
Glendora, CA05.1985
Skills
- ICD-10 Coding Familiarity
- CPT coding knowledge
- Strong Communication Skills
- HIPAA Compliance Understanding
- Fraud Detection Capabilities
- Critical thinking abilities
- Training and mentoring
- Analytical Problem Solving
- Performance Metrics Monitoring
- Medical billing knowledge
- Claims Processing Expertise
- Quality Assurance Practices
- Claims Adjudication Experience
- Insurance Regulations Proficiency
- Claims review
- Claims
- Transactions reconciliation
- Data entry proficiency
- Accuracy and Precision
- Medical terminology knowledge
- Policy Interpretation
- Regulatory Compliance
- Customer Service
- Technical aptitude
- Teamwork and Collaboration
- Critical Thinking
- Organizing and Prioritizing Work
- Attention to Detail
- Active Listening
- Decision-Making
- Claims Processing
- Microsoft Office
Timeline
Senior Claims Processor
AmeriBen/ Elevance Health
05.2012 - Current
Dental Lab Technician
New West Dental Ceramics
03.2010 - 09.2011
Vet Technician
Banfield Pet Hospital
06.2006 - 12.2009
A-one Greeting Card Rep
A One Greeting Cards
05.2000 - 09.2004
A.S Degree - Veterinarian Technician
My San Antonio College
Certificate/ Diploma - Dental Front, And Chair Side Assisting
Bryman College
Diploma -
Glendora High School