Summary
Overview
Work History
Education
Skills
Timeline
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Victoria Campbell

Nashville,TN

Summary

  • I want to become successful in my career and be proud of what I have accomplished in life. I'm willing to take on any challenges/obstacles in order to get to where I need to be.
  • Responded to a high volume of customer inquiries with friendliness and professionalism and efficiency of five- person staff
  • Created and maintained a cohesive and productive work environment, ensuring timeliness and efficiency
  • Perform Data Entry
  • Responding to Emails/Chats Authorized to work in the US for any employer Authorized to work in the US for any employer Authorized to work in the US for any employer
  • Experienced with processing health claims and ensuring compliance with industry regulations. Utilizes problem-solving abilities to address and resolve claim issues effectively. Knowledge of healthcare regulations and proficient communication skills.
  • Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.

Overview

4
4
years of professional experience

Work History

Sales Development Representative

Concentrix
10.2024 - 06.2025
  • 300+ outbound calls a day
  • Setting meetings for account users
  • Explain the benefit of the call and meeting set with an AE
  • Learn product knowledge on a daily basis
  • Sales force experience
  • Generated qualified leads through targeted outreach and effective communication strategies.
  • Utilized CRM tools to track interactions and manage pipeline effectively.
  • Collaborated with sales team to align on goals and ensure seamless lead handoff.
  • Researched industry trends to identify potential opportunities for business growth.
  • Engaged with prospects via email, phone, and social media to build relationships.

Health Claims Specialist

Automated Health Systems
04.2023 - 10.2024
  • Claims adjudicator, determined how much money will be paid after an insurance claim has been examined.
  • Creating or processing claims
  • Data entry position processing medical claims per the specific client requirements
  • Responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines
  • Follow up on claims needing additional information
  • Refer problem claims to a Lead and/or auditor for additional review
  • Made sure that the integrity of the information is accurate and kept private according to HIPPA guidelines
  • Reviewed and processed health insurance claims for accuracy and compliance with regulations.
  • Utilized claims processing software to ensure timely adjudication of claims.

Administrative Assistant

State of Tennessee department of health
02.2022 - 04.2023
  • Process STD labs
  • Data Entry
  • Process std claims
  • Managed scheduling and logistics for departmental meetings and events.
  • Streamlined document processing procedures to enhance workflow efficiency.
  • Coordinated communication between departments to ensure project alignment.
  • Developed training materials for new administrative staff, promoting best practices.
  • Implemented filing system improvements to facilitate easier access to information.

Data Entry/Quality Control

Sharecare Inc
01.2021 - 11.2022
  • Verifying patient records; DOB, SSN, First and Last name. Making sure the address, requester name, fax/email is correct to make sure the records are being sent to the correct facility.
  • Process medical record claims
  • Remote
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Managed patient records to ensure compliance with healthcare regulations and standards.
  • Implemented electronic health record systems to enhance data accuracy and accessibility.
  • Reviewed and verified medical documentation for completeness and accuracy.
  • Coordinated with healthcare providers to resolve discrepancies in patient records.

Education

High school diploma or GED - Community Health

Whites Creek Comprehensive High School
Whites Creek, TN
05.2014

Skills

  • Research
  • Typing
  • Microsoft Office
  • Computer Skills
  • Clerical Experience
  • Medical terminology
  • Administrative Experience
  • Customer service (5 years)
  • Data Entry
  • Microsoft Outlook
  • Communication Skills
  • Microsoft Word
  • Medical Records
  • Microsoft Excel
  • Computer Operation
  • Lead qualification
  • Customer relationship building
  • Goal-oriented mindset
  • Cold calling
  • Organizational skills
  • Task prioritization
  • Medical records management
  • Insurance verification
  • Medical office procedures
  • Medical records filing
  • Claims processing proficiency
  • Medical billing experience
  • HIPAA compliance

Timeline

Sales Development Representative

Concentrix
10.2024 - 06.2025

Health Claims Specialist

Automated Health Systems
04.2023 - 10.2024

Administrative Assistant

State of Tennessee department of health
02.2022 - 04.2023

Data Entry/Quality Control

Sharecare Inc
01.2021 - 11.2022

High school diploma or GED - Community Health

Whites Creek Comprehensive High School

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Victoria Campbell