Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Carlmeka Lafayette

Baton Rouge

Summary

Driven Billing Specialist collects, posts and manages account payments. Proven success building relationships and maintaining optimal billing efficiency. Excellent organizational and problem-solving skills with superior client service acumen.

Accomplished Billing Specialist offering well-honed account management experience. Leverages excellent organizational and problem-solving skills to maintain billing and increase account collections. Skilled in maintaining precise records and building relationships with clients.

Detail-oriented professional driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view.

Analytical Claims Specialist with proven experience investigating and resolving property, health and business claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills.

Efficient and productive Claims Specialist known for swiftly and accurately managing claims processes. Specialize in policy interpretation, negotiation, and settlement strategies which streamline operations and improve turnaround times. Possess strong analytical skills, fraud detection capabilities, and knowledge of insurance regulations. Excel in communication, problem-solving, and organizational skills to effectively handle multiple claims simultaneously while maintaining high satisfaction levels among all parties involved.

Seasoned Claims Specialist with comprehensive background in insurance claim processing, policy interpretation, and dispute resolution. Have successfully managed high-volume claims environments, demonstrating keen ability to stay organized under pressure. Known for strong analytical skills, adept at reviewing documentation and validating coverage decisions. Consistently ensure prompt, fair settlements while maintaining compliance with industry regulations.

Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases.

Seasoned insurance specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.

Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.

Skilled in handling complex insurance claims and policy processing with experience in navigating through various insurance software systems. Demonstrates strong analytical skills, adept at interpreting policies and efficiently resolving claims to the satisfaction of all parties involved. Known for maintaining high accuracy levels in document processing and data entry, contributing to streamlined operations and improved customer service outcomes. Continuously seeks ways to optimize workflows and enhance team productivity, leading to more efficient claim resolution processes.

Efficient professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks with precision. Specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.

Overview

7
7
years of professional experience
2015
2015
years of post-secondary education

Work History

Billing Specialist

Anderson Merchandisers, LLC
Baton Rouge
06.2024 - 09.2025
  • Processed customer billing inquiries and resolved discrepancies efficiently.
  • Managed invoicing procedures using accounting software systems.
  • Collaborated with cross-functional teams to streamline billing operations.
  • Verified accuracy of billing statements and payment records regularly.
  • Communicated with clients regarding payment terms and account status.
  • Maintained organized records of transactions and customer interactions.
  • Assisted in training new staff on billing processes and software tools.
  • Answered customer inquiries regarding billings, payments, account status.
  • Worked with team members to identify and develop process improvements.
  • Investigated incorrect billings and processed refunds as necessary.
  • Worked closely with patients to discuss payment arrangements when needed.
  • Resolved discrepancies between customers' remittances and invoices received.

Claim benefit specialist

Sutter Health
Baton Rouge
01.2022 - 11.2023
  • Evaluated claims for accuracy and compliance with company policies.
  • Assisted clients in understanding their benefits and claims processes.
  • Processed and managed claims inquiries via phone and email communication.
  • Collaborated with healthcare providers to gather necessary documentation.
  • Documented claim resolutions in the company's electronic records system.
  • Reviewed policy guidelines to ensure adherence during claim assessments.
  • Provided training support to new team members on claims procedures.
  • Communicated effectively with team members to enhance workflow efficiency.
  • Prepared reports summarizing findings from investigations into fraudulent claims activity.

Remote Customer Service Representative

Concentrix
Baton Rouge
05.2018 - 12.2020
  • Assisted customers with inquiries and resolved issues through multiple communication channels.
  • Utilized customer relationship management software to track and manage customer interactions.
  • Provided product information and recommendations to enhance customer satisfaction.
  • Collaborated with team members to improve service efficiency and effectiveness.
  • Handled escalated customer complaints with empathy and professionalism.
  • Maintained accurate records of customer interactions for future reference.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Developed strong customer relationships to encourage repeat business.
  • Developed strong relationships with customers by providing personalized assistance and support.
  • Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
  • Maintained detailed records of customer interactions, transactions and comments for future reference.

Education

Apostolic Lighthouse Christian Academy
Jackson , LA

Skills

  • Invoice management
  • Billing software
  • Data entry
  • Payment processing
  • Claims evaluation
  • Regulatory compliance
  • Record keeping
  • Process improvement
  • Cross-functional collaboration
  • Problem solving
  • Attention to detail
  • Effective communication
  • Team training
  • Conflict resolution
  • Coding proficiency
  • Billing dispute resolution
  • Billing best practices
  • Billing systems and software
  • Contract preparation
  • Medical transport billing
  • Insurance claim processing
  • Audit procedures
  • Problem-solving
  • Invoice processing
  • HIPAA compliance
  • Procedure development
  • Insurance verification
  • Medical billing expertise
  • Claims processing

Languages

English
Full Professional

Timeline

Billing Specialist

Anderson Merchandisers, LLC
06.2024 - 09.2025

Claim benefit specialist

Sutter Health
01.2022 - 11.2023

Remote Customer Service Representative

Concentrix
05.2018 - 12.2020

Apostolic Lighthouse Christian Academy
Carlmeka Lafayette