Kendra Atkinson
Goldsboro
Summary
Detail-oriented healthcare professional with experience in case management, claims processing, benefit investigations and customer service support. Strong communication and organizational abilities with a proven track record of supporting patients, providers, and healthcare teams in fast-paced environments.
Overview
11
11
years of professional experience
Work History
Claims Analyst
Centene
St. Louis, Missouri
11.2025 - Current
- Determines reimbursement eligibility based on company policy
- Analyzes and processes pending and first-time claims
- Ensures compliance with state/federal regulations
Reimbursement Case Manager
TekSystems – Mercalis
Morrisville, NC
03.2023 - 04.2025
- Managed individual patient cases
- Communicated with HCPs
- Worked with pharmacies to resolve claim rejections
- Performed necessary follow ups
- Monitored rebates
- Provided patient portal support
- Facilitated patient enrollments into the appropriate program according to eligibility
- Kept detailed records of patient interactions
Eligibility Specialist
RemX - Biologics by McKesson
Cary, NC
02.2022 - 01.2023
- Performed medical benefit investigations
- Adjudicated pharmacy claims
- Made outbound calls to collect charts from providers on behalf of clients (BCBS, Humana, Cigna...)
- Coordinated with specialty and retail pharmacies to ensure that the patient had access to the required treatment
- Obtained prior authorizations
- Processed documents supporting the patient’s care, including infusion reports, lab results and copays
Claims Benefit Specialist
CVS Health
Raleigh, NC
03.2021 - 02.2022
- Reviewed and adjudicated routine claims in accordance with claim processing guidelines
- Provided timely resolutions in processing medical claims
- Checked claim and referral submissions to determine, review and apply appropriate guidelines, coding, member identification processes and diagnosis
Customer Service Representative
Xerox Services (Apple Campaign)
Raleigh, NC
06.2015 - 05.2016
- Navigated through multiple computer applications
- Recommended products and solutions that best suited the customer
- Scheduled in-store appointments and product workshops for customers
- Quickly developed a good rapport with customers
- Troubleshot and worked with customers in gaining a resolution for hardware and software issues with customer’s products and accounts
Education
Certificate of Phlebotomy -
Wayne Community College
Goldsboro, NC01-2019
High School Diploma -
Southern Wayne High School
Dudley, NC05-2007
Skills
- Documentation
- Data Entry
- EDI Software
- ICD-10 Coding
- Medicare/Medicaid
- Interpersonal Skills
- HIPAA
- Detail Oriented
- Inbound/Outbound Calls
- Medical Terminology
- Claims Processing
- Benefits Investigation
- Prior Authorization
- Excel
- Rebates
Timeline
Claims Analyst
Centene
11.2025 - Current
Reimbursement Case Manager
TekSystems – Mercalis
03.2023 - 04.2025
Eligibility Specialist
RemX - Biologics by McKesson
02.2022 - 01.2023
Claims Benefit Specialist
CVS Health
03.2021 - 02.2022
Customer Service Representative
Xerox Services (Apple Campaign)
06.2015 - 05.2016
Certificate of Phlebotomy -
Wayne Community College
High School Diploma -
Southern Wayne High School