Claims associate with expertise in managing high volumes of claims efficiently. Proficient in processing adjustments based on clear liability and compensability criteria. Provides essential support to senior team members through organized documentation and assistance on complex cases.
Overview
12
12
years of professional experience
Work History
Patient Service Specialist – Medical Front Office
Baylor Scott & White Institute for Rehabilitation
McKinney
11.2025 - Current
Registered patients with accurate data entry, completed documentation, and secured proper signatures in electronic medical records
Verify insurance eligibility, secure prior authorizations, and clearly explain benefits, financial responsibilities, and policies
Coordinated patient appointments with Center Manager, reducing cancellations and enhancing treatment adherence
Collected patient payments and ensured accountability for point-of-service collections
Account Executive
Ricoh USA
Dallas
04.2018 - 01.2025
Developed and implemented strategic sales plans that successfully met revenue targets.
Managed key client accounts, resulting in increased sales growth and improved customer satisfaction.
Analyzed market trends to identify new business opportunities.
Collaborated with cross-functional teams to enable seamless service delivery.
Prepare regular sales reports and forecasts to track performance and identify areas for improvement.
Maintain records of pipeline and account activity within Client Relationship Management (CRM) system.
Provider Data Management Analyst
Centene Corp
St. Louis
09.2017 - 03.2018
Assisted in provider network development and credentialing processes by responding to inquiries and resolving issues related to provider accounts, enhancing provider engagement.
Enrolled and updated providers and practitioners with claim payments and directory information.
Prepared administrative documents and materials for provider data management, ensuring compliance with regulatory and contractual requirements to support operational integrity.
Maintained and updated provider information in the Provider Data Management System for Medicare and Medicaid, ensuring accuracy and reliability of data.
Claims Adjuster
Liberty Mutual
St. Louis
09.2015 - 01.2017
Managed high-volume claims processing while maintaining compliance with industry regulations.
Managed auto claims resolution processes, achieving timely and accurate claim assessments.
Conducted damage assessments and risk evaluations, confirming claim validity.
Collaborated with cross-functional teams to streamline claims processes, enhancing overall efficiency.
Intake Associate
Cigna
St. Louis
01.2014 - 09.2015
Secured insurance authorization for scheduled medical procedures, tests, or inpatient admissions by verifying benefits, submitting clinical documentation and codes to payers, and coordinating with healthcare providers and patients for timely approval.
Managed intake processes for insurance claims, ensuring accurate data entry and documentation.
Reviewed reports and documentation to identify discrepancies, enhancing accuracy and ensuring compliance with standards.