Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Velynda Munnings

Inglewood,CA

Summary

Accomplished Medical Claims Processor with a proven track record at Zelis Healthcare, enhancing process efficiency by 15% and achieving a 95% customer satisfaction rating. Expert in claims adjudication and data management, coupled with exceptional communication skills. Demonstrated leadership in improving team performance and patient experience.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Medical Claims Processor

Zelis Healthcare
Remote
02.2022 - 06.2024

• Efficiently processed a high volume of medical claims with accuracy, ensuring compliance with company policies and regulatory standards.

• Performed extensive data entry tasks, inputting claims information into healthcare management software, resulting in a 20% reduction in processing errors.

• Collaborated with healthcare providers and insurance companies to resolve discrepancies, ensuring timely and accurate claims processing.

• Provided customer service support by handling inquiries and resolving issues related to claims, achieving a 95% customer satisfaction rating.

• Contributed to process improvement initiatives that led to a 15% increase in overall efficiency.

Intake Specialist

Medical Offices of Manhattan
New York, NY
01.2020 - 01.2022

• Managed patient intake processes, including data entry of registration information, insurance verification, and documentation collection.

• Delivered high-quality customer service by addressing patient concerns and questions with empathy and professionalism, contributing to a positive patient experience.

• Maintained accurate and confidential patient records in compliance with HIPAA regulations, ensuring the integrity of patient data.

• Coordinated with healthcare providers to schedule appointments and follow-up visits, streamlining the intake process and reducing wait times.

• Trained and supervised junior staff, leading to improved team performance and patient satisfaction.

Claims Processor & Data Entry Specialist

Healthcare Solutions
Los Angeles, CA
04.2014 - 11.2019

• Processed and adjudicated medical claims with a focus on accuracy and efficiency, reducing claim denial rates by 20%.

• Performed extensive data entry of claims information, ensuring that all records were up-to-date and accurate.

• Provided customer service support by responding to inquiries from patients and insurance companies, resolving issues promptly.

• Collaborated with the billing department to improve the claims submission process, resulting in faster payment cycles.

• Assisted in the preparation of reports and documentation for audits, ensuring compliance with industry standards.

Education

Business Administration And Management

West Los Angeles College
Culver City, CA

Skills

Claims Processing & Adjudication

Data Entry & Management

Salesforce & CRM Management

CRM SQL & Data Analysis

Patient Intake & Registration

Customer Service & Communication

Healthcare Management Software (eg, Epic, Medisoft)

Insurance Verification & Coordination

HIPAA Compliance & Patient Privacy

Process Improvement & Efficiency

Team Leadership & Training

Certification

• HIPAA Compliance Certification

Timeline

Medical Claims Processor

Zelis Healthcare
02.2022 - 06.2024

Intake Specialist

Medical Offices of Manhattan
01.2020 - 01.2022

Claims Processor & Data Entry Specialist

Healthcare Solutions
04.2014 - 11.2019

Business Administration And Management

West Los Angeles College
Velynda Munnings