Claims Analyst with Medical Billing Expertise
Resume:
Chavillia Blackwell
Claims Analyst
336-***-**** ******************@*****.*** Greensboro, NC
PROFESSIONAL SUMMARY
Forward-thinking Claims Processor with proven track record of efficiently managing and resolving claims. Proactive in identifying potential issues and implementing solutions to ensure customer satisfaction. Assertive communicator with strong interpersonal skills, adept at navigating complex situations with ease. Always pursuing excellence and demonstrating commitment to achieving results in fast-paced environment. SKILLS
Time Management Problem Solver Team Player Microsoft Office & Windows Organization Verbal & Written communication Medical claims processing ICD-10 and CPT4 EXPERIENCE
INSTRUCTIONAL ASSISTANT, Jamestown, NC
The Point College Preparatory and Leadership Academy, August 2024-Present Assists the teacher with preparing materials, scheduling space for specialized instructional programs and changing curriculum to meet needs for students with different cultural and socio-economic backgrounds and learning styles
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Supervises the student's safety the entire school day and enforces classroom rules while keeping a clean environment
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Provides instructional assistance by leading small group activities, following appropriate training, in an atmosphere that students are actively engaged in practical learning experiences
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CLAIMS DATA SPECIALIST, Remote
CVS, April 2018-February 2022
Accessed all company and member policy while utilizing knowledge of CPT and ICD10 coding to ensure claims are processed correctly and in accordance with provider contracts
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Retrieved and entered explanation of benefits information received from commercial and Medicare insurance companies, to accurately coordinate members' insurance information
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• Reviewed and analyzed provider appeals and subrogation documents to appropriate departments when submitted CLAIMS BENEFIT SPECIALIST, High Point, NC
Aetna, October 2017-April 2018
• Processed claims accurately to enhance customer satisfaction and retention
• Reviewed claims information to determine the nature of a member's illness or injury
• Identified claim cost management opportunities and referred claims for follow up A/R SPECIALIST, McLeansville, NC
LabCorp, July 2016-October 2017
Reading and Analyzing Explanation of benefits from insurance companies, to update or bill current information to the insurance company, and or the patient
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Utilized websites, explanation of benefits, and requisitions to assist in understanding denials, to bill out claims, as needed
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CHILDCARE PROVIDER, Greensboro, NC
3D Childcare, November 2013-April 2016
• Maintained a safe child affable atmosphere in a home-based environment conducive to learning and development EDUCATION
ARTS MAJOR
Forsyth Technical Community College, January 2024
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