Natasha Crawley
Newport News,United States
Summary
Experienced Claims Auditor with 22 years experience, Proficient skills compiling, categorizing and auditing information to process claims. Ability to manage multiple concurrent deadlines, can quickly build relationships virtually and face-to-face. Successful at multi-tasking, balancing customer needs and making new sales. Knowledgeable resource committed to finding answers and working with clients and interdepartmental personnel.
Overview
25
25
years of professional experience
Work History
Billing Specialist
Virginia Health Services
08.2023 - Current
- Bill claims for private pay residents at long term care facilities
- Post private pay payments and balance cash to the checkbook
- Perform various collection actions including running census reports, generate charges, review accounts for accuracy, updating insurance information
- Maintain strictest confidentiality while adhering to all HIPAA guidelines and regulations
- Answer phone calls from residents about their accounts and resolve billing complaints
Alorica - Fraud Detection Analyst Newport News, VA
Alorica
05.2022 - 07.2023
- Reviewed up to 12 months of individual transactions which appeared suspicious to uncover possible fraudulent activity.
- Analyzed large amounts of data to find patterns of fraud and anomalies.
- Provided exemplary level of customer service to clients and company personnel.
Alorica - Claims Auditor
Alorica
12.2001 - 03.2022
- Worked with UPS customers to understand needs and provide excellent service at 100%.
- Conducted claims investigations to insure proper billing practices from contracted and on contracted providers
- Performed special project audits and reviews as requested by other regions.
- Participated in communications with Business Operations management to identify trends.
- Assisted in training new staff.
APAC Customer Services - Inside Sales Agent
Alorica
10.1999 - 11.2001
- Managed friendly and professional customer interactions.
- Maintained up-to-date knowledge of available products to best serve customers and maximize sales potential.
- Developed strategies to grow customer base, which resulted in a 25% in monthly sales.
- Negotiated prices, terms of sales and service agreements.
Education
Early Childhood Psychology With A Minor Education
Christopher Newport University
Newport News, VASkills
- Complex Problem-Solving
- Customer Contact
- Customer Care
- Data Analysis
Timeline
Billing Specialist
Virginia Health Services
08.2023 - Current
Alorica - Fraud Detection Analyst Newport News, VA
Alorica
05.2022 - 07.2023
Alorica - Claims Auditor
Alorica
12.2001 - 03.2022
APAC Customer Services - Inside Sales Agent
Alorica
10.1999 - 11.2001
Early Childhood Psychology With A Minor Education
Christopher Newport University
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