Overview
Work History
Education
Military Experience
References
Timeline
Generic

Charmayne Everett

Overview

7
7
years of professional experience

Work History

Revenue Cycle Representative

HCA Healthcare Inc. (Parallon-Remote)
02.2023 - Current
  • Work designated assignments and work queues to for multiple states
  • Analyze EOB's, and payer correspondence
  • Contact individuals through outbound calls, to resolve past due debts/collections and obtain insurance information
  • Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers to improve cash flow
  • Document in patient account records notating action taking on accounts
  • Review documents and information in Experity, and Artiva
  • Maintain required production, and 100% monthly QA organization goals
  • Identify root causes of claim denials through thorough analysis, and submit rejected appeals to insurance carriers
  • Perform and validate discrepancy reason coding of underpayment inventory
  • Assists and support provider client by providing customer service through external calls about billing inquiries

Case Manager

Horne
12.2021 - 01.2022
  • Determined eligibility for rental assistance by applying agency policies, procedures, federal/state laws and regulations
  • Provided customer service by assisting clients through phone, email, and text for missing information documentations and deadlines
  • Analyzed possible fraud and makes appropriate referrals
  • Drafted client reports under senior case manager supervision and received 100% feedback for alignment with team goals
  • Supported multiple internal levels of management in case evaluation process
  • Presented data and information to achieve team metric goals by running reports
  • Managed multiple projects as assigned by meeting deadlines

Customer Service Representative

Humana
08.2020 - 11.2021
  • Managed customer accounts and suggested improvement organization method that reduced data entry time by 15%
  • Processed and applied payment transactions for policyholders
  • Troubleshoot member log in and password issues using Bomgar software
  • Analyze and researched benefits, claims, billing errors, and provider networks
  • Worked with 4 customer service representatives to create Customer Service Strategy Plan that increased customer retention by 55%
  • Used critical thinking to resolve customer problems, evaluate solutions, and make decisions

Claims Adjudicator

Department Of Economic Opportunity
05.2020 - 08.2020
  • Developed decisions for Unemployment benefits, accordance to federal and state laws, regulations, policies, and procedures
  • Interviewed applicants to obtain and verify information needed to determine eligibility for Unemployment by communicating via telephone and email
  • Investigated and researched statements, claims, and evidence through fact finding for sufficiency, consistency, validity, and credibility
  • Entered determinations and fact finding notes into Connect computer database
  • Managed and organized large system caseload, ensuring that accuracy levels are maintained and cases are processed within specified time frames set by federal and state regulations
  • Consistently recognized for exceeding minimum high production rate by 60% while meeting quality standards

Purchasing Analyst/Administrative Assistant

Department Of Management Services
03.2018 - 03.2020
  • Provided administrative and clerical support to 7 upper management staff
  • Participated in the Statewide Travel Management System project implementation training delivery, and coordination by scheduling executive meeting, creating training PowerPoints, and user guides
  • Researched and prepared presentations for Project Management team, and department regarding expenses, and budget reports
  • Served as point of contact and liaison between clients, project managers, and technical staff.
  • Monitored and assist with implementing budget for division and tracked expenses
  • Tracked and analyze client data by using Microsoft Word and Excel to report FAQ's and client user errors
  • Discovered extra $20K in savings by compiling data and releasing department unsuccessful needs
  • Worked with stakeholders and clients to review and document goals and confirm deadlines
  • Scheduled, approved meetings and conference calls requests.
  • Approved monthly travel through FLAIR, and submitted PCard charges.
  • Ordered Adobe, Microsoft license, purchased laptops, TV's for conference rooms, and cell phone for employees

Administrative Secretary

Agency For Healthcare Administration
08.2017 - 03.2018
  • Provided administrative and clerical support to the Bureau Chief
  • Answered high volume multi-phone lines from the general public and transferred calls to the appropriate consultants.
  • Ordered office supplies, and maintained inventory and files for unit
  • Scheduled meetings, conference calls, and controlled Bureau Chief calendar.
  • Faxed, scanned, filed, and mailed documentations.
  • Researched provider information in license database in response to calls.
  • Processed notice of intents, cash refunds, and budget reports
  • Processed CLIA laboratory license applications, and assigned CLIA ID numbers in computer database.
  • Prepared letters, memo's, and delegations.
  • Ran batch renewals applications, and unassigned cash reports.

Lead Sales Agent

Senior Life Insurance Company
02.2017 - 07.2017
  • Made 300- 350 outbound calls per day in an attempt so sale life insurance
  • Set weekly sale goals for 7 sales representatives
  • Qualified customers by underwriting
  • Evaluated leads through direct referrals information, databases, and cold calling

Education

Associate of Science - Medical Billing And Coding

Ultimate Medical Academy
Tampa, FL
12.2021

High School Diploma -

Thomasville High School
Thomasville, GA

Military Experience

United States Army Reserve
Automated Logistics Specialist/ Petroleum Supply Specialist
October 2009- Current

References

Available upon request

Timeline

Revenue Cycle Representative

HCA Healthcare Inc. (Parallon-Remote)
02.2023 - Current

Case Manager

Horne
12.2021 - 01.2022

Customer Service Representative

Humana
08.2020 - 11.2021

Claims Adjudicator

Department Of Economic Opportunity
05.2020 - 08.2020

Purchasing Analyst/Administrative Assistant

Department Of Management Services
03.2018 - 03.2020

Administrative Secretary

Agency For Healthcare Administration
08.2017 - 03.2018

Lead Sales Agent

Senior Life Insurance Company
02.2017 - 07.2017

Associate of Science - Medical Billing And Coding

Ultimate Medical Academy

High School Diploma -

Thomasville High School

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Charmayne Everett