Detail oriented and highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional learning skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
6
6
years of professional experience
2024
2024
years of post-secondary education
Work History
Claims Processor
BlueCross BlueShield of NC
Raleigh
01.2023 - Current
Process and adjudicate high-volume insurance claims in compliance with company policies and regulatory standards.
Maintain accurate documentation for audits and reporting.
Verify provider claims for accuracy and completeness.
Consistently meet productivity and quality benchmarks.
Support Coordinator
TrialCard
Raleigh
04.2022 - 01.2023
Responded to patient, insurance, and internal inquiries regarding prescription coverage.
Assisted uninsured patients with medication access programs.
Investigated claim denials and coordinated appeals with insurance providers.
Ensured accurate documentation of patient interactions.
Patient Access Representative
Pomeroy
Raleigh
11.2020 - 04.2022
Verified insurance eligibility and referral authorizations.
Maintained strict HIPAA compliance standards.
Resolved claim denials and billing discrepancies.
Reviewed patient billing data for accuracy.
iOS Technical Advisor
Conduent
Raleigh
06.2020 - 09.2020
Provided technical troubleshooting for Apple devices.
Documented service issues and resolutions in company systems.
Scheduled hardware and software service support.
Education
Associate in Applied Science (A.A.S.) - Business Administration
Wake Technical Community College
Raleigh, NC
01.2019 - 12.2025
High School Diploma -
Needham B. Broughton High School
Raleigh, NC
Skills
Claims Processing & Documentation
Regulatory Compliance (HIPAA)
Data Entry & Records Management
Customer & Patient Relations
Conflict Resolution
Process Improvement
Attention to Detail
Critical Thinking
Timeline
Claims Processor
BlueCross BlueShield of NC
01.2023 - Current
Support Coordinator
TrialCard
04.2022 - 01.2023
Patient Access Representative
Pomeroy
11.2020 - 04.2022
iOS Technical Advisor
Conduent
06.2020 - 09.2020
Associate in Applied Science (A.A.S.) - Business Administration