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Yazoo, MS 39194PHONE NUMBER AVAILABLEEMAIL AVAILABLECandidate's Name
ABOUTConscientious and compassionate human resources professional with drive for helping employers recruit, develop and retain qualified candidates. Skilled at partnering with management teams to build employee-centric cultures promoting positive morale and optimizing productivity. Motivating and positive with excellent interpersonal, coaching and communication skills. EXPERIENCEMedRisk INC., Remote  Accounts ReceivableSeptember 2022 - June 2023 Experience filing appeals, correcting claims, reviewing billing policies, and doing insurance collections. 4 years or more of experience with claim edits, claim rejections. Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes Used critical thinking to break down problems, evaluate solutions and make decisions Carecentrix, Remote  Medical Claims SupervisorAugust 2021 - August 2022 Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations. Carried out administrative tasks by communicating with clients, distributing mail and scanning documents. Maintained filing system of current, prospective and future positions. Compiled and produced qualified candidates' information for hiring manager review and liaise between parties to coordinate formal, management interviews. Ralph Lauren, Remote  Claims RepresentativeJanuary 2021 - August 2021 Responsible for delivering fast, friendly and knowledgeable service for routine questions. Maintained and updated employee records, quality checking all documentation for accuracy and integrity. Interviewed applicants, educating them on benefits and determining qualifications for available programs. Worked productively in a fast-moving work environment to process large volumes of claims. Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws. EDUCATIONHigh School  DiplomaSKILLS Excellent administrative abilities Call center operations STRONG WRITTEN AND VERBAL HIPAA Compliance & Medical Terminology Filing & Data Archiving Application Review Advanced Clerical Knowledge Data analysis Technical Support & Computer Multi-line phone talent & CRM Ability to meet deadlines Documentation & Record Keeping