SHARMAINE REYNOLDS
Austin,TX
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
13
13
years of professional experience
Work History
General Merchandise Department Manager
Target
08.2016 - 12.2023
- Designed displays to deliver interactive, engaging, and memorable store experiences for shoppers.
- Coordinated and directed buying team, enforcing compliance with company standards.
- Monitored inventory levels and made necessary adjustments to maximize sales and profits.
- Assisted in organizing and overseeing assignments to drive operational excellence.
- Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
- Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills.
- Analyzed industry trends to develop relevant offerings.
- Reviewed customer feedback to identify trends and improve product selection.
Senior Reimbursement Counselor
Amerisource Bergen -Lash Group
01.2014 - 05.2016
- Reviewed patient cases per week and verified insurance coverage information
- Calculated adjustments, premiums, and refunds
- Notified insurance agents and accounting departments of policy cancellations and changes
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Posted payments to accounts and maintained records
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Collected premiums and issued accurate receipts.
Senior Insurance Verification
AEGIS COMMUNICATIONS, Humana Insurance
11.2010 - 01.2014
- Determined appropriateness of payers to protect organization and minimize risk
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Observed strict procedures to protect sensitive patient information, medical records and payment data
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Maintained strong knowledge of basic medical terminology to better understand services and procedures
- Verified client information by analyzing existing evidence on file
- Posted payments to accounts and maintained records.
Education
Associate of Science - Communications
Mississippi Valley State University
06.2012
High School Diploma -
South Shore High School
06.2008
Skills
- Advanced Negotiation Skills
- Claims Investigations
- Liability Determinations
- Settlement Determinations
- Damage Mitigation
- Investigative Report Preparation
- Investigation Documentation
- Analyzing Claims
- Asset Recovery
- Claims Process Explanation
- Bodily Injury Settlements
- Retail Operations
- Merchandising Strategies
- Stockroom Organization
- Customer Segmentation
- Vendor Negotiation
Timeline
General Merchandise Department Manager
Target
08.2016 - 12.2023
Senior Reimbursement Counselor
Amerisource Bergen -Lash Group
01.2014 - 05.2016
Senior Insurance Verification
AEGIS COMMUNICATIONS, Humana Insurance
11.2010 - 01.2014
Associate of Science - Communications
Mississippi Valley State University
High School Diploma -
South Shore High School
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