Yasmine Garrett
Columbus,GA
Summary
Detail-oriented professional with over 5 years of experience in claims processing and medical records management. Demonstrated ability to deliver accurate and timely service while ensuring compliance with regulatory standards. Proficient in customer service, data entry, and administrative support, with a strong focus on efficient issue resolution.
Overview
8
8
years of professional experience
Work History
Veteran Affairs Medical Claims Analyst
Aspirion Health Resources
Columbus, GA
05.2024 - Current
- Examined and processed medical claims per plan documents for various VA insurance plans.
- Collaborated with healthcare providers to resolve outstanding claims issues.
- Reviewed medical records and compiled information for comprehensive medical review.
- Coordinated with multiple VA departments to ensure efficient claims resolution.
- Verified eligibility of veterans and dependents for medical benefits under VA health plans.
- Managed monthly invoicing as part of revenue cycle operations.
- Utilized HCFA 1500 and UB04 claims for accurate processing of medical claims.
- Demonstrated expertise in Medicare supplements, coordination of benefits, pre-existing clauses, and CPT coding.
Admin - Claims Specialist
Aflac
Columbus, GA
01.2019 - 04.2024
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Managed a caseload of claims efficiently, ensuring adherence to company standards.
- Utilized claims software systems to manage and track claims progress.
Customer Service Representative
Convergys, AT&T
Columbus, GA
02.2017 - 05.2018
- Delivered frontline customer support by answering incoming calls and emails efficiently.
- Surpassed sales goals through implementation of targeted marketing strategies.
- Provided accurate product and service information to customers, enhancing decision-making.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Increased customer satisfaction ratings by resolving issues promptly and effectively suggesting solutions.
- Developed strong customer relationships to encourage repeat business.
Education
Certificate - Cyber Security
Southern New Hampshire University
Hooksett, NH08-2024
Skills
- Incident response and risk assessment
- Vulnerability analysis and data protection
- Technical documentation and troubleshooting
- Customer service and HIPAA compliance
- Communication skills and decision-making
- Multi-tasking and financial analysis
- Attention to detail
- Data entry and billing software
- Financial transaction management
Timeline
Veteran Affairs Medical Claims Analyst
Aspirion Health Resources
05.2024 - Current
Admin - Claims Specialist
Aflac
01.2019 - 04.2024
Customer Service Representative
Convergys, AT&T
02.2017 - 05.2018
Certificate - Cyber Security
Southern New Hampshire University