Insurance Verification High School

CARLISHIA REED

*** ******** ***, ******, ** *****

Phone: 972-***-****

Email: ****************@*****.***

Objective

As a certified paralegal, paired with over 8 years of experience in the healthcare industry specializing in Medical Advantage Plans with a primary objective to utilize and uphold administrative rules, and regulations. Advocating as a legal liaison for all. Intentionally promoting and holding Civil, and Statutory Rights at the highest regard. Proactively making a difference of change for the greater good. Ability Summary

Experience in assisting lawyers by researching legal precedent, investigating facts, and preparing legal documents. Knowledge of statutory laws, administrative laws, property codes, administrative rules, procedures, and civil rules. Self-motivated, self-taught paralegal, with hands-on personal experiences as a pro se litigant. Understanding of family law i.e. Divorce, Wills and Probate, Marriage. Established understanding of binding arbitration, business and commerce code. Equipped with understanding of appeal structure in the healthcare industry, with developed skills in insurance verification, timely filing deadlines, CMS guidelines, HIIPPA compliance, medical document submission. Well versed and familiarity with medical terms.

Employment History

09/2016 - 09/2024 COLLECTOR II

BAYLOR SCOTT & WHITE HEALTH, Dallas, TX

● Follow-up calls, emails, fax written

correspondence with health insurance companies

on the status of a clinical appeal

● Excellent understanding of appeal procedures

● Insurance verification

● Understanding of clinical codes

● Understandable knowledge of hospital forms i.e.

UBO4, CMS 1500

● Analyzed, and resolved complicated issues

navigating Medicare, and Medicaid procedures

● Informed and well versed with HIPPA compliance

● Aware and efficient with documents submission in ordnance with CMS strict guidelines

● Proficient and extremely compliant with Medicare, and Medicaid, short deadlines, and extremely

precise forms, and procedures for appeals.

● Direct understanding, and sense of compassion

when verbally, and or written communication with

patients.

● High integrity and values to conduct factually and effective information on reports, documents for

appeals.

● Skilled effective effort of record keeping, including but not limited to scanning and charting

documents, by type and in chronological order.

● Direct hands-on knowledge of mailing procedures

i.e. certified mailing of Protected Information of patient's medical records.

Education History

General High School Curriculum

High School Diploma

North dallas, Dallas, TX

General studies

Legal research and writing

Vocational School Certificate

Blackstone Career Institute, Allentown, PA

Graduated with Distinction with a final student average of 96.77% Occupational Licenses, Certificates and Training

02/2021

Notary Commission

Secretary of State

Honors & Activities

Several awards in high school extracurricular activities Swim Team, Cheerleader, Debate club, French club, Student Conuncil

Additional Information

Willing to relocate. Available to start work immediately. Detailed References

References Available on Request

Contact this candidate