I'm a reliable individual seeking a claims representative associate position with your company. I offer excellent communication and good judgment. I am very organized and dependable person at managing multiple priorities with a positive attitude. I'm looking for a challenging role with a growing team.
Overview
19
19
years of professional experience
Work History
Claims Assistant
RevClaims
Pearl, MS
07.2018 - 07.2021
Examined reports, accounts and evidence to determine integrity and accuracy of information.
Research, reviewed, investigated, and provided report as necessary.
Consistently meet established productivity, schedule adherence and quality standards.
Answer clients' billing or claims questions.
Analyze problem and determine effective resolutions or develop recommendation for action by supervisor.
Fostered a teamwork attitude in the department to include maintaining good relationships with examiners and supervisor
Follow HIPAA policy on each and every call.
Interviewed policyholders to verify information and obtain additional details.
Abided by the laws and regulations associate under HIPAA and patient confidentiality.
Office Manger
Kapturedphotography
Jackson, MS
02.2017 - 06.2018
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Maintained computer and physical filing systems.
Developed standard operating procedures for all administrative employees.
Coordinated and aligned corporate and office schedules and disseminated important work information to employees.
Reviewed client and staff feedback and made appropriate business adjustments to meet needs and address concerns.
Oversaw work processes and performed quality control tasks to increase revenue and reduce production times.
Compared vendor prices and negotiated for optimal savings.
Bank Teller
Community Bank
Pearl, MS
11.2015 - 05.2016
Educated customers on use of banking website and mobile apps.
Recognized needs and referred to appropriate representative or line of business for cross-sell or service opportunities.
Medical Collections Specialist
Healthcare Financial
Pearl, MS
02.2013 - 03.2016
Processed billing calls and answered questions from patients and third-party carriers.
Assisted in reconciling deposit and patient collections.
Corrected, completed and processed claims for multiple payer codes.
Logged charges and payments within company software.
Listened to customers and negotiated solutions that met creditor and debtor needs.
Entered client details and notes into system for interdepartmental access and review.
Advised customers of alternative actions and strategies for debt repayment.
Worked with customer to create debt repayment plan based on current financial condition.
Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate.
Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
Initiated repossession process or service disconnection upon failure of other collection methods.
Processed debtor payments and updated accounts to reflect new balance.
Compiled and analyzed data for review by senior management of loan loss reports to measure portfolio performance.
Deployed automated system tracking and skip tracing to locate hard-to-find, re-located customers.
Improved operations through consistent hard work and dedication.
Maintained excellent attendance record, consistently arriving to work on time.
Increased customer satisfaction by resolving issues.
Resolved conflicts and negotiated mutually beneficial agreements between parties.
Correctional Sergeant
Mississippi Department Of Corrections
Pearl, MS
01.2001 - 07.2012
Oversaw control center, monitoring inmates, visitors and employees for signs of suspicious behavior.
Checked all book in and discharges, making sure all charges have paperwork and all discharges have orders of discharge.
Completed daily work report sheets and delegated tasks to employees.
Trained several employees and performance of tasks and manager over two hundered offenders.
Cultivated and maintained climate of mutual respect with freedom from harassment and intimidation, to provide safe environment for staff and offenders.
Verified all prison visitors carried proper identification and had no contraband before entering institution.
Inspected housing cells and directed teams completing in-depth searches for contraband or damage.
Assigned officer tasks such as cleaning cells and stocking clean laundry to keep prison running efficiently.
Handled inmate counts and searches for missing inmates.
Supervised dining hall, outdoor recreation area, vocational shop and inmate housing unit.
Monitored company inventory to keep stock levels and databases updated.
Carried out day-to-day duties accurately and efficiently.
Developed and maintained courteous and effective working relationships.
Maintained energy and enthusiasm in fast-paced environment.
Conducted research, gathered information from multiple sources and presented results.
Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Collaborated with team members to achieve target results.
Devoted special emphasis to punctuality and worked to maintain outstanding attendance record.
Actively listened to customers' requests, confirming full understanding before addressing concerns.
Education
No Degree - Nursing
Hinds Community College
Pearl, MS
High School Diploma -
Scott Central High
Forest, MS
05.1996
Skills
Policy understanding
Creativity and Critical Thinking
Processing mail
Provider Relations
Adaptability
Emotional Intelligence
Analyzing Data
Timeline
Claims Assistant
RevClaims
07.2018 - 07.2021
Office Manger
Kapturedphotography
02.2017 - 06.2018
Bank Teller
Community Bank
11.2015 - 05.2016
Medical Collections Specialist
Healthcare Financial
02.2013 - 03.2016
Correctional Sergeant
Mississippi Department Of Corrections
01.2001 - 07.2012
No Degree - Nursing
Hinds Community College
High School Diploma -
Scott Central High
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