Kayron Mullis

Macon, GA *****

adxi21@r.postjobfree.com

+1-478-***-****

Motivated administration professional with twenty years of claims examiner and injury litigation experience . Excellent at building strong working relationships with customers, fellow staff, supervisors and community members. Over Twenty years of customer service and claims handling experience in the auto amd injury insurance and health insurance industry working as a skilled claims adjuster and patient account Representative. DSD Receiver and Pricing Coordinator experience from 1990-1996. Exceptional problem soloing skills and negotiating contracts. I am experienced in drafting legal letter, contracts, and other documents for case settlements and contracts. Trained in multiple billing systems Sorian, Epic, Microsoft Teams, Medicare, Medicaid, United Health Care Contracts, CPAR certified. Work Experience

Senior Patient Account Representative

Atrium Health Navicent Medical Center - Macon, GA

March 2018 to Present

• Review patient bills to determine we have verified and billed correct health insurance.

• Follow up to received payment on bills from the health insurance.

• Review current health insurance contract and determined we have billed for services correctly under the covered plan.

• Obtain required pre-authorization for a patient to ensure health services will be covered per insurance contract. Determine charges for services requested, collect deposits or payments, or arrange for billing.

• Follow up with patients to ensure the billing account is updated with active health insurance for billing.

• Keep patient informed on payment or any denials from the health provider

• Appeal any claim that was denied or not paid correctly based on health insurance contract. License and Complaint Analyst, Secretary Of State

August 2016 to March 2018

• Document findings of study and prepare recommendations for implementation of new systems, procedures, or organizational changes.

• Gather and organize information on problems or procedures.

• Analyze data gathered and develop solutions or alternative methods of proceeding.

• Confer with personnel concerned to ensure successful functioning of newly implemented systems or procedures.

• Develop and implement records management program for filing, protection, and retrieval of records, and assure compliance with program.

Claims Examiner

Geico

April 1996 to August 2016

• Examine claims forms and other records to determine insurance coverage.

• Investigate and assess damage to property and create or review property damage estimates.

• Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

• Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

• Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.

• Analyze information gathered by investigation, and report findings and recommendations.

• Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.

• Prepare report of findings of investigation.

• Refer questionable claims to investigator or claims adjuster for investigation or settlement.

• Collect evidence to support contested claims in court.

• Examine titles to property to determine validity and act as company agent in transactions with property owners.

• Communicate with former associates to verify employment record and to obtain background information regarding persons or businesses applying for credit. Education

Associate of Science in Business Adminstration

Middle Georgia State University - Macon, GA

High School Diploma

Jeff Davis High School - Hazlehurst, GA

Skills

• Exceptional Customer Service Skills and File auditing Expert

Experienced

Policy Analysis, Problem Solving, Follow up

Expert

• Financial Report Writing

• Legal Research

• Contract Negotiation

• Records Management

• Negotiation

• Data Analysis

• Presentation Skills

• Legal Drafting

• Microsoft Outlook

• Epic

• Event Planning

• Workers' compensation

• HR sourcing

• Management

• Project Management

• Communication skills

• Bilingual

• Customer service

• Computer skills

• Leadership

• Payroll

• Recruiting

• Accounts Receivable

• Pricing

• Office Management

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