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Human Resources Quality Control

Location:
Columbus, GA
Posted:
October 07, 2023

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Resume:

Katrice Denson

**** ********* ***** ********, ** 31907

706-***-****

adz77i@r.postjobfree.com

PROFESSIONAL PROFILE

Motivated and customer service oriented professional with a strong understanding of the importance of accurate claims processing. Adept at shifting priorities and bringing flexibility to dynamic situations. Follows policies, procedures, and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality.

High Academic Honors Recognition / Dean’s List.

Strong written, verbal, and interpersonal skills for effective communication and documentation.

Resourceful, flexible, and adept at acquiring new skills in support of company objectives.

Microsoft Word, Excel, and PowerPoint; Types 36 WPM. KEY QUALIFICATIONS

Electronic Health Records (EHR) Payment Posting Scheduling HIPAA Compliance Insurance Verification Insurance Claim Processing EOBs Co-Payments Deductibles Managed Care (HMO PPO POS) Government Payers Third Party Payers Worker’s Compensation Medical Billing Medical Coding ICD-9 ICD-10 HCPCS CPT Medical Terminology Medicare Medicaid and Tricare CMS 1500 CMS 1450 (UB-04) Fee Schedules Greenway EHR Medical Office Procedures EDUCATION / PROFESSIONAL DEVELOPMENT

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2019 American Military University Management with a Concentration in Human Resources, 2009 George Washington University Clinical Laboratory Sciences, 2006 Deputy Clerk of Superior Court Muscogee County Notary Public PROFESSIONAL EXPERIENCE

Travel Choice American Express Travel Services – Phoenix, AZ (remote) 02/2023 – Present Travel Counselor - Compliance Regulatory Team Temporary Work Assignment -Full time/40 hours

Responsible for second level review, research and resolution on all assigned cases entered via the Global Complaints on CLIC system.

Deliver extraordinary service and demonstrates ability to self -manage time and workload to achieve outstanding business results.

Interact with Card Members to handle escalations and questions on complex case resolutions. Travel Choice American Express Travel Services – Phoenix, AZ (remote) 08/2022 – Present Travel Counselor/Planner - Full time/40 hours

Katrice Denson, Cont.

Research, plan, and carry out personalized travel experiences, through booking domestic and international flights, car, and hotel travel arrangements.

Communicate new and existing product offerings and value propositions relevant to the Card Member.

Always put the card member’s needs first.

BroadPath Healthcare Solution – Tucson, AZ (remote) 12/2021 – Present Operations Supervisor - Full time/40 hours

Supervised agents while taking calls for ESI Pharmacy Project.

Coached agents on their daily performance utilizing the Agent Metric.

While a training supervisor: ensured trainees were equipped with the information needed for success in production.

Ensured all policies and procedures were followed. BroadPath Healthcare Solution – Tucson, AZ (remote) 12/2020 – 12/2021 Subject Matter Expert - Full time/40 hours

Managed the production chats by answering questions agents had while taking calls for ESI Pharmacy Project.

Assisted WorkForce Management to ensure agents are in the correct status.

While a training SME supervisor: ensured trainees were equipped with the information needed for success in production.

Ensured all policy and procedures were followed. BroadPath Healthcare Solution – Tucson, AZ (remote) 5/2020 – 12/2020 Member Service Representative - Full Time/40 hours

Worked from home in a high call volume setting on the ESI Pharmacy Project while using strong customer service and conflict resolution skills.

Answered Plan Benefit questions from the commercial side of ESI Pharmacy while utilizing resources to ensure accuracy.

Maintained confidentiality of information for all members by adhering to privacy policies and HIPAA laws and guidelines.

Strong active listening skills and the ability to ask probing questions and understand concerns. Muscogee County School District – Columbus, GA 10/2018 – 5/2020 Substitute Teacher - PNR as needed

Served in the capacity of a substitute teacher / paraprofessional in the absence of the teacher.

Utilized appropriate procedures for student safety and welfare.

Managed the classroom and provided instruction according to plans as provided by the classroom teacher. Katrice Denson, Cont.

Helped students understand what they are to complete and uphold a positive learning environment. Retired Veteran – Columbus, GA 05/2014 – 10/2018

Retired Veteran

Volunteered at Waddell Elementary to help children read and write.

Assisted the local church with completing data entry and other clerical work.

Mentored 2 young adults and served as a positive role model. Winn Army Community Hospital – Fort Stewart, GA 12/2012 – 05/2014 Medical Laboratory Technician / Staff Sergeant

Served as an active member in the United States Army.

Performed drug testing and urinalysis for patient specimens.

Ensured quality control and assurance of equipment and tests. Medical Task Force Shelby – Camp Shelby, MS 10/2011 – 12/2012 Medical Laboratory Manager / Staff Sergeant

Trained 9 personnel on the Soldier Readiness Processing site laboratory policies and procedures.

Participated in the collection of 25,000+ lab draws in direct support of Army Soldier Readiness Process.

Maintained the serviceability of Troop Medical Clinic and Soldier Readiness Processing Laboratory's equipment valued $10,000+.

Sullivan Memorial Blood Center – Fort Benning, GA 01/2008 – 10/2011 Medical Laboratory Manager / Staff Sergeant

Utilized exceptional skills in the component and collections sections resulting in zero deficiencies and Donor Center being commended number one ranking.

Performed flawlessly while supervising 15+ employees as the Unit Prevention Leader (UPL) which resulted in zero incidents or errors.

Willingly shared knowledge and experience that was key to component processing section 95% operational readiness with zero deficiencies.

VOLUNTEER EXPERIENCE

The Community Warriors Inc. – Columbus, GA 02/2019 – 08/2022 Member

Assist the organization with giving back to the community.

Distribute food every 3rd and 4th Saturday and pass out gloves and socks to the homeless.

Assist in the cleanup process during disasters.

Waddell Elementary PTA – Columbus, GA 10/2018 – 09/2022 Katrice Denson, Cont.

Secretary

Take the minutes at every meeting

Work closely with the treasurer to ensure accuracy of money collected by the organization. Girl Scouts of Historic Georgia – Columbus, GA 10/2018 – Present Cookie Mom / Treasurer

Order and store cookies during Girl Scouts cookie sale season.

Accountable for money collected at cookie booths and maintain the bank account.



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