Open To Work
Octavia Hunt
Cigna-Evernorth Healthcare
Memphis,TN
Work Preference
Desired Job Title
Senior Billing and Reimbursement SpecialistClaims SpecialistAdministrative AssistantSenior Claims Reimbursement Specialist/Senior Team Leader
Work Type
Full Time
Location Preference
On-SiteRemoteHybrid
Location:
Memphis, TN
Open to relocation:
No
23
years of professional experience
Dedicated professional with over 20 years of extensive experience in billing and reimbursement. Skilled in appeals handling and team collaboration, resolving billing discrepancies and improving claim accuracy, consistently achieving timely resolution of disputes to optimize claim processing and enhance patient satisfaction.
Work History
Senior Billing and Reimbursement Specialist
9 Years 3 Months- Processed and bill claims to coordinated with medical providers to resolve billing discrepancies and improve claim accuracy.
- Reviewed and analyzed patients account with outstanding balance
- Provided daily Customer Service to Insurance co. and patient while assisting patients with obtaining Copay Assistance to cover outstanding balance due for medication that was not covered by the patient primary insurance
Claims Specialist
2 Years 6 Months- Coordinated communication between clients and insurance to resolve disputes efficiently.
- Bill claim and reviewed documentation for accuracy, identifying discrepancies that impacted claim processing timelines.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Administrative Assistant
4 Years 8 Months- Provided Customer Service support to Patients, Physician's office and Insurance companies
- Obtain Prior Authorization, Verify Benefit Eligibility
- Bill medical claim, Analyzed, problem solve and correct discrepancies on patient account to resolve issues
- Process credit card payment and offer payment arrangement for balance due.
Senior Claims Reimbursement Specialist/Senior Team Leader
6 Years 4 Months- Analyzed and processed complex claims to ensure accurate reimbursement.
- Conducted regular team meeting and audits on department processes, identifying areas for improvement and implementing changes as necessary to maintain optimal efficiency levels.
- Served as liaison between the Billing Department and the Collection Department
- Mentored staff and participated in monthly performance meeting with facility Management on best practices for claims management and compliance protocols.
Education
No Degree - Medical Office Assistance
High School Diploma
Skills
Appeals handling
HCPCS coding
HIPAA compliance
ICD-10 coding
Payment posting
Billing Medicaid and Medicare and all forms of Commerical Insurance
Eligibility verification and Obtaining Prior Authorizatio
Teamwork and collaboration
Timeline
Senior Billing and Reimbursement Specialist
Cigna-Evernorth Healthcare
01.2017 - 04.2026Read More
Claims Specialist
Kelly's Services
07.2014 - 01.2017Read More
Administrative Assistant
Residential Medical Solutions
09.2009 - 05.2014Read More
Senior Claims Reimbursement Specialist/Senior Team Leader
McKesson Specialty Health
03.2003 - 07.2009Read More
North West Jr. College
No Degree from Medical Office Assistance
Read More
Old Salem High School
High School Diploma
Read More