Nicole Armstrong
North Little Rock,AR
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
26
26
years of professional experience
Work History
Terminal Clerk
Estes Trucking
05.2017 - Current
- Create freight manifest list using applicable coding
- Assist dispatcher with assigning pick up and delivery drivers for local delivery activities
- Responsible for scheduling, tracking, tracing and billing
- Assist with city dispatch when needed
- Answer telephones with a heavy call volume
- Responsible for checking in drivers
- Enter delivery manifest data into the computer
- Conduct imaging and scanning of bills of lading and other documents
- Enter data into the dispatch systems
- Contact customers and coordinate delivery times and schedule appointments for freight delivery
- Responsible for entering HAZ MAT material into the dispatch systems
- Worked effectively with shippers to resolve shipment issues, damaged materials and shortages.
Medical Claims Adjuster
Arkansas Blue Cross Blue Shield
08.1998 - Current
- Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
- Resolved complex claims issues for expedited processing and resolution.
- Assisted in the creation of departmental procedures and guidelines to maintain consistency across all team members'' work quality standards.
- Evaluated new software tools that improved productivity levels while maintaining accuracy standards.
- Implemented quality control measures to reduce errors and improve overall accuracy rate in claims processing.
- Participated in cross-functional teams to address systemic issues within the organization, contributing insights from a medical claims perspective.
- Maintained strict compliance with HIPAA regulations, safeguarding patient privacy throughout the claim evaluation process.
- Managed high volume caseloads, prioritizing urgent and sensitive cases for immediate attention.
- Reduced claim processing time by streamlining medical claims adjudication processes.
- Collaborated with healthcare providers to obtain necessary documentation for claim support.
- Mentored new hires on company policies, procedures, and best practices related to medical claims adjusting.
- Conducted thorough investigations of medical claims to ensure proper payment or denial.
- Streamlined communication channels between departments, expediting information flow and improving overall productivity.
- Provided exceptional customer service to both internal and external stakeholders during the entire claim lifecycle process.
- Improved customer satisfaction with timely and accurate claim settlements.
- Managed large volume of medical claims on daily basis.
- Verified patient insurance coverage and benefits for medical claims.
- Paid or denied medical claims based upon established claims processing criteria.
- Monitored and updated claims status in claims processing system.
Education
Master of Arts - Human Resources Management
Webster University
St Louis, MO12.2017
Master of Arts - Management An Leadership
Webster University
St Louis, MO05.2016
Bachelor of Arts - Business Administration
Arkansas Baptist College
Little Rock, AR05.1994
Skills
- Claims Resolution
- Complex Research
- Strong analytical skills
- Data Entry Efficiency
- Data Testing
- Claims Analysis Expertise
- Customer Service
- Medical record review
- Insurance claims processing
- Thorough claims reviews
Timeline
Terminal Clerk
Estes Trucking
05.2017 - Current
Medical Claims Adjuster
Arkansas Blue Cross Blue Shield
08.1998 - Current
Master of Arts - Human Resources Management
Webster University
Master of Arts - Management An Leadership
Webster University
Bachelor of Arts - Business Administration
Arkansas Baptist College
Similar Profiles
Rudie KirklandRudie Kirkland
Team Lead at Estes TruckingTeam Lead at Estes Trucking
John MitchellJohn Mitchell
Forklift Operator Yard Jockey at Estes TruckingForklift Operator Yard Jockey at Estes Trucking
Joel WaddillJoel Waddill
Part-Time Construction Laborer at Estes Grading & TruckingPart-Time Construction Laborer at Estes Grading & Trucking