WANDA DUFFIE
Pendleton,KY
Summary
Results-driven Lien Resolution Analyst at ZipLiens with a proven track record in dispute resolution and claims negotiation. Adept at analyzing complex cases and communicating effectively with clients. Recognized for attention to detail and problem-solving skills, ensuring compliance and accuracy in all resolutions. Committed to delivering exceptional customer service in high-pressure environments.
Overview
20
20
years of professional experience
Work History
Lien Resolution Analyst
ZipLiens
Louisville, Kentucky
11.2024 - Current
- Evaluated financial data related to dispute resolution cases and identified discrepancies or inaccuracies.
- Analyzed customer inquiries to deliver timely, accurate resolutions, enhancing customer satisfaction.
- Documented case details in tracking system to ensure proper reference and follow-up on disputes.
- Researched customer accounts and provided detailed reports on account activity.
- Communicated with customers via phone, email, chat, or other methods in order to clarify details of their case or provide updates on its status.
- Conducted quality assurance checks on completed dispute resolutions, ensuring adherence to standards before finalization.
- Monitored progress of ongoing dispute resolutions and reported back to management accordingly.
- Maintained a high degree of professionalism when working with customers under stressful situations.
- Ensured compliance with relevant laws and regulations while performing duties as a resolution analyst.
Subrogation Analyst
The Rawlings Group
Lagrange, KY
02.2017 - 09.2024
- Negotiated lien agreements with attorneys to secure optimal recovery outcomes
- Analyzed claims data to identify subrogation opportunities and potential recoveries.
- Collaborated with legal teams to gather necessary documentation for case evaluations.
- Reviewed insurance policies to determine coverage limits and liability issues.
- File review for recovery based on facts and laws according to state law
- Review of contract language for recovery rights
- Managed files and records for ongoing subrogation cases ensuring accuracy and organization.
- Trained new employees on procedures for filing and managing subrogation claims.
- Mentored new team members to enhance their understanding of subrogation processes
- Communicated effectively with clients and team members using strong phone skills to resolve inquiries
- Assisted in training new analysts on subrogation processes and company procedures.
Billing Specialist
MedCare Pharmacy
07.2012 - 02.2017
- Medicare and Medicaid billing for long term care and assisted living facilities
- Coordinated primary and secondary coverage to optimize billing accuracy and minimize claim denials
- Oversaw collections process for outstanding payments to ensure timely revenue recovery
- Prior Authorizations for patient medications
- Conducted new hire training to facilitate smooth onboarding and integration into the team
Data Entry
Med4Home
06.2009 - 05.2010
- Processed Medicare billing claims to secure timely payments for services rendered
- Data Entry
- Supported customers by addressing inquiries and resolving issues to enhance satisfaction
- Took prescriptions from physicians
CPhT
Pardues Pharmacy
08.2006 - 06.2008
- Prescription review
- Data Entry
- Customer service
- Inventory
- Insurance billing
Education
Paralegal -
PCDI
Norcross, GA01.2006
CPhT -
Tennessee Technology Center
Nashville, TN01.2004
Skills
- Knowledge of Microsoft Applications
- Excellent communication skills
- Ability to present complex information
- Excellent problem solving
- Critical thinking
- Ability to work in a fast-paced environment
- Case analysis
- Dispute resolution
- Claims negotiation
- Effective communication
- Problem solving
- Time management
- Attention to detail
- Excellent communication
- Data entry and management
- Teamwork and collaboration
- Data entry and 10-key
Timeline
Lien Resolution Analyst
ZipLiens
11.2024 - Current
Subrogation Analyst
The Rawlings Group
02.2017 - 09.2024
Billing Specialist
MedCare Pharmacy
07.2012 - 02.2017
Data Entry
Med4Home
06.2009 - 05.2010
CPhT
Pardues Pharmacy
08.2006 - 06.2008
Paralegal -
PCDI
CPhT -
Tennessee Technology Center