Customer Service Revenue Cycle

AMARI GRIDDINE

*****.********@*****.*** 816-***-**** Frisco, TX 75035

Skilled in developing strong internal and external relationships to facilitate collaborative achievement of high-priority goals

May 2022 - Dec 2024

Claims Associate

Included Health - Remote

• collected claim payout with insurance company

investigate claims denials ( UB04s), billing (1500s), appeals, revenue cycle, review authorizations for

hospitals, facility, surgical and ambulatory services;

• familiarity with CPT codes; self funded plans and government and commercial payers

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May 2019 - Mar 2022

Benefit Verification Specialist

CareMetx - Remote

• Data manager

• Proficient in MS Office (Excel, Access, Word etc.) Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-

pocket expenses.

•

Collaborated with team members to resolve

discrepancies in insurance verification, ensuring proper billing practices.

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Jul 2016 - Mar 2019

Benefits Specialist

New Direction Behavioral

Health - Overland Park, KS

explained plan benefit information to plan participants and family members

•

create care plans for mental health and substance

abuse patients -inpatient, outpatient, rehab

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PROFESSIONAL SUMMARY

SKILLS

PROFESSIONAL EXPERIENCE

Managed high-volume claim caseloads, ensuring accurate documentation and adherence to company

policies.collections, credit investigations

• Policy interpretation

• Prior authorization processing

• Fraud Detection

• Case management

• Claims investigation

• Data Analysis & Reporting

• Executive communication

• Collections

• took inbound calls :Doctors office & insurance

• schedule member appointments

• took crisis calls, follow protocol

Expected in Jan 2026

Associate of Science: Counseling Psychology

Colorado Christian University Denver, CO

May 2010

High School Diploma

Central High School Kansas City, MO

EDUCATION

Contact this candidate