Of professional experience
Open To Work
Tara Smith
Los Angeles,CA
Summary
Dedicated professional with 26 years of experience in high-volume, regulated customer service and compliance environments. I am a long-time cannabis enthusiast with deep product knowledge, now seeking a part-time Front Desk or Budtender role in the Los Angeles area. I offer a unique combination of elite phone etiquette, meticulous document verification, and a passion for providing a welcoming, educational experience for every customer.
Overview
26
26
Work History
Provider Payment Appeals Analyst
Elevance Health
Woodland Hills, California
03.2000 - Current
- Reviewed appeals documentation to ensure compliance with regulatory standards.
- Analyzed appeals data trends, identifying areas for process improvement.
- Communicated with clients to gather essential case information.
- Maintained detailed records of all appeals within management system.
- Participated in audits of appeal processes, ensuring accuracy and efficiency.
- Evaluated patients' insurance coverage, deductibles, and potential payments.
- Managed denials, late payments, and extensions by coordinating follow-ups.
- Drafted correspondence addressing inquiries from stakeholders regarding claims status.
Education
High School Diploma -
South Bay Adult School
Torrance, CA06-2022
Associate of Science -
El Camino College
Torrance, CASkills
- Regulatory Compliance
- Documentation Verification
- Guest Relations
- Professional Phone Etiquette
- Data Entry
- Retail Math
- Conflict Resolution
- Cannabis Product Knowledge
- Database Management
- Membership Onboarding
- Merchandising & Display
- High-Volume Multiasking
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Provider Payment Appeals Analyst
Elevance Health
03.2000 - Current
High School Diploma -
South Bay Adult School
Associate of Science -
El Camino College