Christenia M. Lee

*** *** ****** **** • Florence, MS 39073 • 601-***-****

Email: accu61@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

• Over 10 years Customer Relationship experience. • Excellent communication skills.

• Hard working, able to multi-task effectively. • Medicare Part B Appeals experience

• Highly skilled in engaging participants. • Highly skilled in Microsoft products (excel, word,

power point)

PROFESSIONAL EXPERIENCE

Broad Path Healthcare Solutions May 2013 – November 2013

Medicare Division

Online work

10501 E. Seven Generations Way

Tucson, AZ 85747

510-***-****

Job Title: Appeals Analyst

Provided expertise or general support to teams, researching, reviewing, investigating, negotiating and

resolving all types of appeals and grievances for Medicare. Insurance companies also communicated with

appropriate parties such as attorneys, hospitals/clinics, and insurance companies regarding appeals.

• Identify and collect appropriate documentation from multiple external sources.

• Coordinate with medical directors to ensure the appropriate decision has been made and the

approved outcomes are implemented.

• Initiate claim adjustments on individual cases when necessary.

• Provide written documentations to appellants and/or all involved parties in a timely manner as

required.

Cahaba GBA, LLC January 2011 - October 2013

Medicare Division

775 Woodlands Plaza

Ridgeland, MS 39157

Supervisor Name and Number: Valencia Dunson, 601-***-****

Job Title: Medicare Part A & B Case Analyst

Responsible for receiving and responding to telephone inquiries from beneficiaries; attorneys; Medicare

contractors and insurance companies. Other duties included providing claim payments information to

providers, attorneys and other insurance companies. Also responsible for conducting claims research,

requesting claims refunds and finalizing secondary payer actions.

• Composed letter notifying appropriate parties of case status.

• Completed various types of correspondences such as Notice of Settlements, Appeals, Waivers;

Rights and Responsibility

• Process claims for beneficiaries with Medicare Part A Hospital Care, Skilled Nursing Facilities

and Home Healthcare;

• Processed claims for beneficiaries with Medicare Part B Clinic Visits, Ambulance Services.

Trustmark Bank July 2007 – May 2010

201 East Capital Street,

Jackson, MS 39201

Supervisor Name and Number: Talia Moore, 601-***-****

Job Title: Residential Real Estate Assistant

• Responsible for all clerical duties within the Real Estate Office

• Inputted mortgage loans for potential homeowners

• Analyzed data and compiled quarterly and annual reports.

• Responsible for scheduling loan closings, inspecting homes prior to closing to ensure construction

was on schedule and maintained calendars for lending officers.

AmSouth/Regions Bank September 2002 – July 2007

1031 Highland Colony Parkway

Ridgeland, MS 39158

Supervisor Name and Number: Bill Cocke, 601-***-****

Job Title: Business Banking Assistant

• Managed three Branch Business Bankers to make sure that loans and accounts were opened

properly.

• Provides a full range of administrative support services to the Business Banking team.

• Researches loan and deposit balances, assists in loan closings and aids in identifying and

resolving client issues.

• Prepare weekly Business Banking reports.

• Maintaining excellent customer service skills.

• Complete special projects as needed.

EDUCATION

Florence High School, Florence, MS

Diploma, 1996

Antonelli College, Jackson, MS

Associate Degree, Business Office Technology (June, 2001)

GPA 3.7

Walden University (online)

Business Administration (2013-ongoing)

(Concentration: Business Management)

REFERENCES

Valencia Dunson

Cahaba Supervisor

601-***-****

Talia Moore

Trustmark Manager

601-***-****

LaShandra Thomas

Friend

601-***-****

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