Rodnesha Chambers
Lexington,KY
Summary
I am a diligent worker who remains consistent in all my commitments. I excel in professional environments and am dedicated to any endeavor I pursue. I value interactions with others and believe in treating individuals with respect they deserve, fostering positive relationships and maintaining a constructive mindset.
Overview
12
12
years of professional experience
Work History
Insurance Verification Specialist
Baptist Health Surgery Center
Lexington, KY
09.2024 - 08.2025
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Educated patients on their insurance benefits and coverage limitations.
- Scheduled and confirmed patient appointments and consultations.
- Answered telephones and collected payments on patient accounts.
Phone Representative
.
Lexington, KY
09.2024 - 08.2025
- Managed high-volume inbound calls with professionalism and efficiency.
- Assisted customers by providing accurate product information and support.
- Trained new representatives on call handling techniques and best practices.
- Provided top quality control and eliminated downtime to maximize revenue.
Mentorship
YMCA
Lexington, KY
07.2024 - 09.2024
- Organized team practices to improve collaboration and teamwork among players.
- Implemented strategies to promote sportsmanship and positive competition among teams.
- Developed training programs to enhance athlete performance and skills.
Medical Claims Specialist
.
Lexington, KY
01.2014 - 08.2023
- Submitted electronic claims through various clearinghouses when necessary.
- Processed a high volume of claims on a daily basis using established time frames.
- Prepared documents for submission to insurance companies for review and approval for payment of claims.
- Researched claim denials and appeals to determine appropriate resolution.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
Education
High School Diploma -
Bryan Station High School
Lexington, KY05.2009
Associate of Science - Medical Billing And Coding Specialist
Medtech
Lexington, KY11.2014
Skills
- Multitasking
- Payment posting
- Customer service
- Teamwork and collaboration
- Time management
- Problem-solving
- Excellent communication
- Professionalism
- Insurance verification
- Claim processing
- Benefit determination
References
Anissa Webb
Phone: (859) 270-3469
Email: anissa.webb@wellspsc.com
Tiffany Crouch
Phone: (859)274-3191
Volunteer Experience
Mentor, YMCA, Lexington, KY, 07/01/24, Present, Built relationships with youth by planning and participating in activities together., Head Basketball Coach.
Certifications
- Bloodborne Pathogens
- HIPPA
Timeline
Insurance Verification Specialist
Baptist Health Surgery Center
09.2024 - 08.2025
Phone Representative
.
09.2024 - 08.2025
Mentorship
YMCA
07.2024 - 09.2024
Medical Claims Specialist
.
01.2014 - 08.2023
High School Diploma -
Bryan Station High School
Associate of Science - Medical Billing And Coding Specialist
Medtech
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