Natalie Coote
Wimauma,Florida
Summary
Experienced in CRM systems and medical coding, developed expertise at CNO SERVICES, LLC. Capable of effectively managing complex transactions and upholding rigorous quality standards. Committed to enhancing operational performance and ensuring adherence to compliance requirements.
Overview
6
6
years of professional experience
Work History
Production Associate
Cardinal Health - Sustainable Technologies
Riverview, Florida
06.2025 - 11.2025
- Machine Operation: Set up and run light production machinery, automation, or assembly equipment.
- Quality Control: Inspect products for defects, ensuring they meet quality standards.
- Process Adherence: Follow Standard Operating Procedures (SOPs), and company guidelines.
- Safety and Environment: Maintain a clean, safe work area, contributing to environmental commitments.
- Workflow: May handle basic workflow tasks, reporting issues, or performing routine setups.
Live Issue Specialist
CNO SERVICES, LLC
Carmel, Indiana
01.2022 - 01.2025
- Processing a diverse group of insurance policyholder transactions utilizing the company CRM system along with a few administrative systems.
- Returned payments, policyholder information corrections, reinstate canceled policies, and refunded initial premiums on voided policies.
- Corresponded with the agents via email regarding missing information or documents needed to proceed with processing.
- Reviewed, troubleshot, escalated, and processed transactions, utilizing knowledge documents for issue resolution.
- Working at a pace that allows you to complete anywhere between 25 to 50 transactions daily based upon the complexity of the transactions.
- Autonomously grab transactions from the workflow que, review, troubleshoot for resolutions, escalate if necessary, and process transactions.
Claims Analyst
NLB BUSINESS / COGNIZANT
Tampa, Florida
01.2020 - 01.2022
- Processed, reviewed, and verified 140 pending medical claims related to physician services, coordination of benefits, high dollar, special pricing, or refund.
- Verified and updated information on submitted medical claims.
- Determined reimbursement eligibility and applied policy and provider contract provisions to pay, adjust, or deny claims.
- Made payments or denials following company practices and procedures.
- Researched and determined the status of medical claims.
- Reviewed and charged, using healthcare claims software (QNXT, FACET, MS Office), and used payment / denial codes, ICD-10, CPT, HCPCS, and modifiers within established department guidelines and standards.
- Maintained records, files, and documentation.
Education
GED -
Ellenwood Academy
Brandon, FL10-2018
Skills
- Pega platform expertise
- CRM systems management
- Desktop and web content management
- Medical coding: CPT, ICD-10, HCPCS
- FACET and TriZetto QNXT applications
- Microsoft Office proficiency
- Xcelys knowledge
Languages
English
Full Professional
Timeline
Production Associate
Cardinal Health - Sustainable Technologies
06.2025 - 11.2025
Live Issue Specialist
CNO SERVICES, LLC
01.2022 - 01.2025
Claims Analyst
NLB BUSINESS / COGNIZANT
01.2020 - 01.2022
GED -
Ellenwood Academy