Neffertiti Robinson
Arlington
Summary
Results-driven professional with a strong background in medical billing and tax preparation. Expertise in claims processing and customer service, focused on delivering accurate billing information and resolving discrepancies efficiently.
Overview
4
4
years of professional experience
2022
2022
years of post-secondary education
Work History
Medical Billing Specialist
Humana
05.2022 - Current
- Processed medical claims using electronic billing systems efficiently.
- Reviewed patient accounts to ensure accuracy in billing information.
- Collaborated with healthcare providers to resolve payment discrepancies.
- Maintained compliance with insurance regulations and company policies.
- Assisted patients with inquiries regarding their bills and insurance coverage.
- Updated patient records in the billing system regularly and accurately.
- Managed denial resolutions by appealing claims with supporting documentation.
- Trained new staff on billing procedures and software usage effectively.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Adhered to HIPAA regulations when handling confidential patient information.
Tax Preparer/Business Owner
Prepared2Profection Tax Service
Arlington
01.2022 - Current
- Prepared tax returns for individuals and small businesses.
- Reviewed financial documents for accuracy and completeness.
- Assisted clients with tax-related inquiries and concerns.
- Utilized tax preparation software to streamline processes.
- Ensured compliance with federal and state tax regulations.
- Organized client files and maintained confidentiality of records.
Claims Representative
Apple
11.2023 - 05.2025
- Processed claims by reviewing customer documentation and assessing eligibility.
- Communicated with customers to gather information and clarify claim details.
- Coordinated with internal teams to resolve complex claim issues efficiently.
- Assisted in training new representatives on claims procedures and best practices.
- Analyzed trends in claims data to identify potential areas for improvement.
- Ensured compliance with company policies and regulatory guidelines in all claim activities.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
Claims Processor
Agero
12.2021 - 12.2023
- Processed claims efficiently using Agero's proprietary software.
- Reviewed documentation to verify claim accuracy and completeness.
- Communicated with clients to gather necessary information for claims.
- Collaborated with team members to resolve complex claim issues.
- Maintained detailed records of all claims processed and communications.
- Assisted in training new staff on claims processing procedures.
- Conducted audits of processed claims for compliance and quality assurance.
- Implemented process improvements to enhance workflow efficiency and accuracy.
Education
Premier High School
Arlington, TXSkills
- Claims processing
- Electronic billing
- Insurance verification
- Tax preparation
- Compliance management
- Customer relationship management
- Data analysis
- Process improvement
- Financial documentation
- Attention to detail
- Effective communication
- Problem solving
- Staff training
- Confidentiality maintenance
- Regulatory adherence
- ICD-10 proficiency
- Accounts payable
- Denial management
- Quality-oriented team player
- software applications proficiency
- Bill payment
- HIPAA compliance
- Disability claims process
- Medical coding expertise
- Files and records management
- Collections management
- CPT knowledge
Timeline
Claims Representative
Apple
11.2023 - 05.2025
Medical Billing Specialist
Humana
05.2022 - Current
Tax Preparer/Business Owner
Prepared2Profection Tax Service
01.2022 - Current
Claims Processor
Agero
12.2021 - 12.2023
Premier High School