Rashundra Reedy
Birmingham,Alabama
Summary
Professional business consultant with exceptional communication skills, experienced in direct coordination of patient and customer care interactions. Possesses a strong attention to detail and the ability to take initiative in maintaining a human connection. I am seeking employment within an established, thriving professional environment where I can grow within the company and further develop my knowledge, skills, and abilities.
Overview
11
11
years of professional experience
Work History
Healthcare Claims Management Specialist
SSC Technologies
11.2021 - Current
- Proficiently manages inbound phone and email correspondence to effectively resolve healthcare claim matters
- Possesses extensive experience in healthcare call center operations and adeptly handles Medicare, Medicaid, Affordable Care Act, Commercial, Small/Large Group, and Pharmaceutical Benefits Management
- Demonstrates expertise in navigating various programs within a Windows-based environment and utilizing applications such as Teams, Excel, and Outlook
- Skilled in providing routine healthcare information, coverage dates, claims history, deductibles, and coinsurance amounts to facilities, doctors, and members
- Additionally, experience in conducting on-the-job training for new associates and ensuring quality assurance
- Well-versed in call center activities, transaction processing, data entry, and customer correspondence.
Research Assistant
UAB Medicine
01.2014 - 11.2021
- Facilitated and managed vendor, professional, and patient communications, for scheduling, records maintenance, and overall senior administrative assignments; Ensured departmental compliance, certification, and licensing
- Applied critical thinking and action in adapting to challenges.
Patient Care & Admissions Coordinator
UAB Medicine
01.2020 - 01.2021
- Provide direct patient care and coordination in following admission criteria and guidelines; Adept to establishing clear and accurate information collection and processing for medical records
- Supports further patient care in collaboration with appropriate providers and facilities in referral submission according to HIPPA regulations.
Education
MBA - Business
University of Phoenix
Phoenix, AZ04.2024
Bachelor of Science - Business
University of Phoenix
Phoenix, AZ05.2021
Skills
- Effective communication
- Information assurance
- Relationally Adaptive
- Policy Implementation
- Operational Oversight
- Zoom
- Microsoft Office Suite
- QuickBooks Data Entry
Certerifaction
- Pharmacy Technician Certified
- HMR certification
- Project Management certification
Timeline
Healthcare Claims Management Specialist
SSC Technologies
11.2021 - Current
Patient Care & Admissions Coordinator
UAB Medicine
01.2020 - 01.2021
Research Assistant
UAB Medicine
01.2014 - 11.2021
MBA - Business
University of Phoenix
Bachelor of Science - Business
University of Phoenix
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