Medical Claims and Tarot Readings
Resume:
Shateristar Beamon
Allied Healthcare
Contact
Address
Charlotte, United States
Phone
adulg1@r.postjobfree.com
Skills
Service navigation
Mental health services
Claims reporting systems
Health insurance
Data Entry
Account management
Service-focused Healthcare professional offering excellent patient-care and charting skills. Talented at attending to patients in diverse healthcare settings. Certified in Peer Support with Health Insurance Expertise.
Work History
2021-10 - 2022-04
Certified Peer Support Specialist
Genesis Project 1, Charlotte, North Carolina
Counseled individuals, groups and families to bring awareness of problems, deal with crisis situations and develop action plans.
Counseled patients weekly with issues such as mood disorders, PTSD and anxiety.
Completed detailed documentation to summarize interactions with patients and booked follow-up sessions.
Provided guidance in daily living activities such as dressing, grooming, bathing, health and wellness
Provided nutritional, clothing, income and furniture referral assistance
Transported or accompanied clients to scheduled health appointments or referral sites.
Managed enrollment, transportation and paperwork for individuals to take advantage of community resources.
2017-09 - 2021-09
Medical Claims Analyst
Blue Cross And Blue Shield Of North Carolina, Durham, North Carolina
Monitored and guided revenue cycle operations.
Supported clinical team members with revenue cycle procedures and addressed issues.
Established and checked coding procedures, monitored reports and updated internal files.
Complied with established internal controls and policies.
Completed financial reporting and analysis for billing revenue cycle.
Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
2014-03 - 2016-06
Medical Claims Analyst
Beacon Health Options, Morrisville, North Carolina
Managed large volume of medical claims on daily basis.
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Calculated adjustments, premiums, and refunds.
Modified, updated and processed existing policies.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Posted payments to accounts and maintained records.
Prepared insurance claim forms or related documents and reviewed for completeness.
Acted as subject matter expert, answering internal and external questions and inquiries.
2009-11 - 2011-07
Medical Insurance Customer Service Representative
Humana, Raleigh, North Carolina
Educated patients on eligibility and affordability options by offering insightful information.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Assessed information gleaned from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
Interviewed applicants and explained scope of different available benefits.
Posted payments to accounts and maintained records.
Calculated adjustments, premiums, and refunds.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Input all patient data regarding claims and prior authorizations into system accurately.
Education
2016-01 - 2019-06
Bachelor of Science: Allied Healthcare Management
Miller-Motte Technical College - Wilmington - Wilmington, NC
Certifications
2021-10
NCPS - National Certified Peer Specialist
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