Zoe Hodge
Jacksonville,FL
Summary
Experienced and resilient professional with a history of success across various roles and industries. Recognized for a strong work ethic, exceptional problem-solving abilities, and steadfast dedication to excellence. Thrives in fast-paced environments, demonstrating resilience and consistently delivering results under pressure. Efficient billing professional with 5 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
7
7
years of professional experience
1
1
Certification
Work History
PBMS DPC
CENTENE/CIGNA
10.2023 - Current
- Administered pharmacy benefits and direct primary care agreements, resolving over 500 billing discrepancies annually
- Enhanced PBMS for streamlined billing in patient care, significantly reducing billing errors
- Conducted audits on claims and billing transactions, achieving a high accuracy rate in discrepancy resolution
- Facilitated provider-insurer communication, substantially reducing resolution time
- Developed comprehensive reports for billing trends and financial forecasting, enhancing operational efficiency.
Human Resources Specialist
AMAZON
04.2022 - 10.2023
- Provided employee relations support and conflict resolution guidance, reducing employee grievances
- Managed full-cycle recruitment and onboarding, significantly reducing time-to-fill
- Maintained accurate HR databases, ensuring data integrity
- Contributed to performance management and policy development, improving employee satisfaction
- Successfully resolved employee complaints through mediation, achieving a high resolution rate.
Insurance Specialist
SelectQuote
11.2020 - 04.2022
- Assisted clients in selecting insurance plans, leading to increased client retention
- Provided technical support and maintained systems, minimizing downtime
- Improved negotiation power with providers, resulting in increased savings for clients
- Expedited claims resolution, reducing claim resolution time
- Developed procedures for operational efficiency, reducing processing time.
Data Analyst/Billing Specialist
GLOBAL LLC
01.2017 - 10.2020
- Conducted audits on claims and billing transactions, achieving a high accuracy rate in discrepancy resolution
- Created visualizations and dashboards for reporting, enhancing data accessibility
- Built predictive models for billing forecasts, improving accuracy
- Streamlined processes, reducing billing errors
- Ensured compliance with financial regulations and implemented process improvements.
Education
Medical Billing And Coding -
Penn Foster College
Scottsdale, AZ04.2020
Skills
- Computer Skills
- Organization
- Friendly, Positive Attitude
- Quality Assurance
- Claims Processing
- Customer Success Management
Certification
- AWS Certified Cloud Practitioner (CLF-CO2)
- (OPFL-LHA05) : FLA Health and Life and Annuity Agent (0215)
Timeline
PBMS DPC
CENTENE/CIGNA
10.2023 - Current
Human Resources Specialist
AMAZON
04.2022 - 10.2023
Insurance Specialist
SelectQuote
11.2020 - 04.2022
Data Analyst/Billing Specialist
GLOBAL LLC
01.2017 - 10.2020
Medical Billing And Coding -
Penn Foster College
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