Detail-oriented Claims Resolution Specialist with expertise in claims investigation, documentation, and customer relations. Proven ability to manage billing processes and enhance service delivery in fast-paced environments.
Overview
9
9
years of professional experience
Work History
Claims Resolution Specialist
VieMed
08.2025 - Current
Assisted in processing claims by gathering and reviewing necessary documentation.
Communicated effectively with clients to clarify claim details and resolve issues.
Utilized claims management software to track and update claim statuses accurately.
Collaborated with team members to ensure timely resolution of claims inquiries.
Conducted research to verify claim eligibility based on policy guidelines.
Supported the implementation of best practices for efficient claims processing workflows.
Processed adjustments and posted refunds.
Office Manager
Medicine Clinic of Acadiana
09.2016 - 08.2025
Streamlined office operations, enhancing workflow efficiency and reducing administrative bottlenecks.
Managed scheduling for patient appointments, optimizing resource allocation and minimizing wait times.
Coordinated communication between medical staff and patients, improving service delivery and satisfaction.
Implemented electronic health record systems, increasing accuracy in patient data management and accessibility.
Oversaw inventory management of medical supplies, ensuring availability while controlling costs effectively.
Led initiatives to enhance clinic policies, resulting in improved compliance with healthcare regulations and standards.