Raven Duvall
Austin
Summary
Accomplished professional with expertise in complex claims analysis and effective communication, honed at USA Managed Care Organization. Proven track record in identifying payment discrepancies and managing high-stakes tasks with precision. Adept at multitasking and delivering results, leveraging analytical abilities and technical proficiency to drive success. Typing speed of 75 WPM enhances efficiency.
Overview
22
22
years of professional experience
Work History
MEDICAL CLAIMS REPRICER / LIAISON REPRESENTATIVE (LICENSED GENERAL LINES AGENT – LIFE, ACCIDENT, HEALTH & HMO)
USA Managed Care Organization
Austin
02.2019 - 10.2025
- Analysis of complex claims for repricing
- Identifying discrepancies in payments, as well as payment updates
- Ensure Work Comp appeals/Medicare claims are processed in a time sensitive manner
- Process claims in accordance to proper policies and regulations
- Demonstrate a strong knowledge of all relevant products
- Strong computer skills
- Data entry
- Scanning
ADMINISTRATIVE ASSISTANT
AOMA School of Integrative Medicine
Austin
04.2016 - 12.2017
- Managed email, messaging, and responses that came in for AOMA
- Uploaded portal postings to CAMs for student admissions
- Managed the weekly student newsletters
- Scheduled advising/portfolio review appointments for students to meet with AOMA faculty
- Scribed Board meeting minutes
EXECUTIVE ADMINISTRATIVE ASSISTANT
Migrant Clinicians Network
Austin
10.2014 - 04.2016
- Coordinated board conferences and publish executive summaries
- Scribed Board and IRB meeting minutes
- Managed Board and staff travel itineraries
- Setup conferences onsite and offsite
- Managed office calendar and setup travel itineraries
TECHNICAL SUPPORT SPECIALIST
Dell
Round Rock
11.2003 - 11.2010
- Provided first-level technical support on Dell Supplied software, peripherals, and applications to the point of installation, and basic use, or to the level of service appropriate to the warranty offered on the product
- Actively supported the customer in all aspects through to problem resolution, keeping the customer informed, and updated throughout life of incident
- Maintained knowledge of Dell's product line and service offerings, along with future industry products
Education
LICENSED GENERAL LINES AGENT - LIFE, ACCIDENT, HEALTH & HMO
01.2004
Associates in Business Administration -
Austin Community College
Austin01.2001
Skills
- Complex claims analysis
- Identifying payment discrepancies
- Analytical abilities
- Effective communication
- Multitasking
- Typing at 75 WPM
Hobbies and Interests
- Reading
- Cooking
- Pilates
Timeline
MEDICAL CLAIMS REPRICER / LIAISON REPRESENTATIVE (LICENSED GENERAL LINES AGENT – LIFE, ACCIDENT, HEALTH & HMO)
USA Managed Care Organization
02.2019 - 10.2025
ADMINISTRATIVE ASSISTANT
AOMA School of Integrative Medicine
04.2016 - 12.2017
EXECUTIVE ADMINISTRATIVE ASSISTANT
Migrant Clinicians Network
10.2014 - 04.2016
TECHNICAL SUPPORT SPECIALIST
Dell
11.2003 - 11.2010
LICENSED GENERAL LINES AGENT - LIFE, ACCIDENT, HEALTH & HMO
Associates in Business Administration -
Austin Community College