Brandon Jones
Knightdale,NC
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
11
11
years of professional experience
Work History
Medical Claims Representative
Conduent Commercial Solutions
12.2013 - Current
- Handled complex claim issues, effectively communicating with patients, providers, and insurance companies to ensure resolution.
- Increased efficiency in claim submission process by staying up-to-date on changing regulations and industry best practices.
- Contributed to overall department success through regular participation in meetings, sharing ideas for improvement initiatives.
- Assisted in training new Medical Claims Representatives, sharing best practices for efficient claim processing.
Security Officer
Sunstates Security
03.2023 - Current
- Wrote detailed reports on property damage, theft, presence of unauthorized persons and unusual incidences.
- Conducted thorough investigations into security incidents, documenting findings, and recommending appropriate actions.
- Worked independently and collaboratively to resolve urgent issues to protect lives and property.
- Greeted guests professionally and courteously to cultivate welcoming atmosphere while making safety top priority.
Education
Some College - Communications
Cleveland State University
Cleveland, OHSkills
- Coverage Determination
- Complex Problem-Solving
- Reading Comprehension
- Active Listening
- Critical Thinking
- Meticulous Claims Investigator
- Adhering to detailed claim procedures
- Ability to communicate clear and effectively
Timeline
Security Officer
Sunstates Security
03.2023 - Current
Medical Claims Representative
Conduent Commercial Solutions
12.2013 - Current
Some College - Communications
Cleveland State University
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