Sheltra K Bell
Port Arthur,TX
Summary
To obtain a position at a well-established organization that will enable me to use my strong organizational skills, educational background, and ability to work well with people and establish a stable environment that will lead to a lasting relationship within this Company
Overview
16
16
years of professional experience
1
1
Certification
Work History
Water Truck Operator
Bechtel
07.2023 - Current
- Demonstrated commitment to ongoing professional development by attending training sessions, workshops, and industry conferences related to water truck operations.
- Maintained accurate records of hours worked, mileage, fuel usage, and maintenance activities in compliance with company policy and regulatory requirements.
- Contributed to a positive work culture by maintaining open lines of communication with team members and fostering a supportive environment.
- Managed emergency situations calmly and efficiently to minimize potential risks associated with spills or accidents involving a water truck.
Appeals Representative
United Healthcare
06.2021 - 06.2023
- Complete necessary documentation of final appeals or grievance determination using appropriate templates
- Obtain additional documentation required for case review
- Research and resolve written complaints submitted by consumers and physicians/providers
- Review case to determine if review by clinician is required
- Communicate appeal or grievance information to members or providers and internal/external parties within the required timeframes
Assistant Manager
Little Caesars Pizza
04.2020 - 09.2022
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Developed strong working relationships with staff, fostering a positive work environment.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
Customer Service Rep Sr
United Healthcare
11.2013 - 06.2021
- Respond to incoming Provider and Member calls
- Enter notification, provide status of an existing notification and determining if notification is needed
- Provide excellent customer Service to both Provider and Member for Community and State
- Assist with faxes and emails
- Build authorization in UHC systems
- Provide clear and accurate documentation
- NY NJ claims processing and appeals
- Respond to complex claims
- Provide Benefits and eligibility in CSP Facets System
- Submitted CORE request for demos, and searched for provider fee schedules
- Resolve Billing and payment issues
- Knowledge of Medicare & Retirement, Community & State, and Commercial payments, policies, procedures, and regulations
- Research provider contracts and provider rates in Emptoris
- Analyzing and solving customer problems
Box Truck Driver
Emile Express
09.2015 - 11.2017
- Assisted in warehouse operations when needed, contributing to overall team success and productivity.
- Collaborated closely with dispatchers to ensure timely deliveries and address any issues that arose during transport.
- Safely transported goods to customers, adhering to strict deadlines and ensuring customer satisfaction.
- Operated box truck equipment safely, such as lift gates or pallet jacks, reducing the risk of accidents or injury on the job site.
Insurance Verification Specialist II
Baylor College of Medicine
12.2012 - 11.2013
- Corresponded with insurance companies regarding patient diagnosis and accounts
- Obtained insurance pre-certifications and verifications in Epic
- Provide and explained educational material to patients
- Informed patients on treatment, administration and insurance-related matters
- Recertified outpatient and inpatient surgeries in Epic
Insurance Verification Specialist II
Baylor College of Medicine
03.2012 - 12.2012
- Verified medical benefits, answer calls and route calls
- Investigates insurance coverage and demographics in Epic
- Answers phones and provides information to patients
- Maintain Charge Review and Neurology Workques in Epic
Physician Billing Specialist II
Baylor College of Medicine
11.2008 - 03.2012
- Received, sort, and batched charge documents
- Read, analyze, and interpret medical records and charge documents independently
- Maintain tracking log and Medical Records in SharePoint
- Process paper and electronic charges on a daily basis and reconcile errors
Education
Texas Southern University
Houston, TX05.2004
Skills
- Epic Software
- Care One Application
- IEX Software
- CSP Facets
- Windows Platforms
- Claims processing
- MS Office Suite
- Access
- Excel
- Word
- PowerPoint
- Internet Explorer
- ODAR
- PAS
- Macess
- ETS
- FACETS
- Emptoris
- Navigator
- Liberty Net
- SAM
- Medical Terminology
- Core
- Management
- Truck Driver
Certification
CDL
Timeline
Water Truck Operator
Bechtel
07.2023 - Current
Appeals Representative
United Healthcare
06.2021 - 06.2023
Assistant Manager
Little Caesars Pizza
04.2020 - 09.2022
Box Truck Driver
Emile Express
09.2015 - 11.2017
Customer Service Rep Sr
United Healthcare
11.2013 - 06.2021
Insurance Verification Specialist II
Baylor College of Medicine
12.2012 - 11.2013
Insurance Verification Specialist II
Baylor College of Medicine
03.2012 - 12.2012
Physician Billing Specialist II
Baylor College of Medicine
11.2008 - 03.2012
Texas Southern University
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