Christenia M. Lee
*** *** ****** **** • Florence, MS 39073 • 601-***-****
Email: *******@*****.***
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
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
Talia Moore
Trustmark Manager
LaShandra Thomas
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