Stephanie Clark
Higdon,AL
Summary
Seasoned insurance specialist with excellent planning and problem-solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with a successful history managing high caseloads in fast-paced environments.
Overview
15
15
years of professional experience
Work History
AR Insurance Specialist
MedSrv
Chattanooga, TN
05.2023 - Current
- Processed and managed 1,000+ healthcare claims monthly, ensuring compliance with payer requirements to facilitate timely reimbursement.
- Investigated and resolved 300–500 appeals monthly, focusing on high‑dollar and stop‑loss reimbursement cases to maximize recovery.
- Review medical records, provider notes, explanation of benefits (EOBs), and supporting documentation.
- Prepare and submit documentation packages to insurance carriers and third‑party administrators.
- Conducted payer follow‑up to verify claim processing, ensuring timely reimbursement and minimizing delays.
Transactions Analyst
HUTTON
Chattanooga, TN
08.2022 - 03.2023
- Coordinated due diligence and documentation review for $84M in commercial real estate transactions.
- Analyzed documentation and queried databases to support reporting and compliance processes.
- Developed reports summarizing transaction activity and performance insights.
- Queried databases and analyzed documentation to support reporting and compliance processes.
- Coordinated inspections, appraisals, title searches, and other tasks related to real estate transactions.
Client Service Executive
Cigna
Chattanooga, TN
08.2011 - 06.2022
- Managed federal union international and commercial health plan accounts for over 80,000 members.
- Investigated escalated claims issues, coordinating resolutions with internal teams.
- Acted as liaison between employer groups and internal departments to address reimbursement concerns.
- Facilitated client onboarding processes to improve user experience.
- Cultivated and maintained client relationships to drive satisfaction.
- Ensured compliance with ACA, OPM, and HEDIS regulatory standards.
- Prepared detailed reports on claim trends for management review and strategic decision-making.
Education
Associate of Science - Criminal Justice
Chattanooga State Community College
Chattanooga, TN12-2026
High School Diploma -
Richard Hardy Memorial School
South Pittsburg, TNSkills
- Revenue cycle management
- Claims processing and investigation
- Appeals and denials resolution
- Medical record and EOB review
- Patient billing
- Epic and Facets expertise
- Availity and ICIS proficiency
- Microsoft Office Suite and advanced Excel
- Analytical problem solving
- Technical documentation
- Client onboarding and relations
- Account management
Timeline
AR Insurance Specialist
MedSrv
05.2023 - Current
Transactions Analyst
HUTTON
08.2022 - 03.2023
Client Service Executive
Cigna
08.2011 - 06.2022
Associate of Science - Criminal Justice
Chattanooga State Community College
High School Diploma -
Richard Hardy Memorial School