Utilize and use strategies that I have learned through the years of working.
I know that I being a lot to the company that chooses to hire me.
I am proud to say I have over 15 years of customer service work, claims.
Overview
14
14
years of professional experience
Work History
Claims Examiner
Florida Blue - Blue Cross Blue Shield Of Florida
01.2024 - Current
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Processing Specialist
Deluxe
08.2022 - 01.2024
Managed and authenticated processing of business deposit slips.
Provider Services Representative
BroadPath Healthcare Solutions
05.2020 - 08.2022
Explain eligibility to different providers calling in inquiring about the patient’s eligibility
Also to check on claims to see if they were approved or denied
Obeying HIPPA laws
Customer Service
The Home Depot
11.2016 - 04.2020
Provide customer service and take customers orders and get them prepared for delivery
Provide efficient and over the top service 100%
Shipping Clerk
Dollar General Warehouse
01.2011 - 09.2015
Organizing inventory for easy retrieval as new orders come in, reviewing incoming and outgoing shipment schedules to maintain productive operations
Education
Certificate - Business Administration
Fayetteville Technical Community College
03.2018
High School Diploma -
Santa Fe High School
06.1999
Skills
WPM
Microsoft Excel
Microsoft Word
Office Management
Computer Networking
Zendesk
Citrix
Customer Support
Salesforce
CRM Software
Live Chat
Technical Support
Timeline
Claims Examiner
Florida Blue - Blue Cross Blue Shield Of Florida
01.2024 - Current
Processing Specialist
Deluxe
08.2022 - 01.2024
Provider Services Representative
BroadPath Healthcare Solutions
05.2020 - 08.2022
Customer Service
The Home Depot
11.2016 - 04.2020
Shipping Clerk
Dollar General Warehouse
01.2011 - 09.2015
Certificate - Business Administration
Fayetteville Technical Community College
High School Diploma -
Santa Fe High School
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