Results-driven Medical Claims Specialist with a strong background in claims processing and customer service. Proven ability to educate team members and resolve billing discrepancies, enhancing operational efficiency and client satisfaction.
Overview
7
7
years of professional experience
Work History
Medical Claims Specialist
Berkshire Hathaway Homestate Companies
07.2021 - 06.2026
Reviewed and processed medical claims for accuracy and compliance with policies.
Managed a caseload of 150+ claims in an efficient and organized manner.
Educated team members on claims procedures and best practices to enhance overall performance.
Collaborated with claimants, employers, and medical providers to provide the best customer service and resolution.
Sales Associate
Francesca's Boutique
10.2022 - 11.2023
Developed strong customer relationships to enhance loyalty and repeat business.
Assisted in visual merchandising to create appealing product displays that attract customers.
Provided personalized shopping experiences, resulting in improved customer satisfaction ratings.
Trained new associates on sales techniques and store policies to ensure operational consistency.
Medical Billing Specialist
Conifer Healthcare Solutions
02.2019 - 07.2021
Processed medical claims accurately, ensuring compliance with industry regulations and payer requirements.