Dynamic Claims Specialist at Vaya Health with expertise in claims processing and analysis. Proven track record of enhancing customer satisfaction through efficient resolution of insurance claims. Strong verbal communication skills complemented by proficiency in Microsoft Office, resulting in streamlined operations and increased productivity. Committed to delivering high-quality service in fast-paced environments.
Overview
4
4
years of professional experience
Work History
Claims Specialist
Vaya Health
02.2025 - Current
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
Increased productivity by streamlining claim processing procedures and implementing time-saving technologies.
Medical Receptionist
Mayrx
09.2024 - 02.2025
Coordinated patient scheduling, check-in, check-out and payments for billing.
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
Managed multi-line phone system and pleasantly greeted patients.
Bartender/Server
Carriage House Sundries
03.2024 - 09.2024
Served high customer volumes during special events, nights, and weekends.
Managed cash handling duties responsibly, ensuring accurate accounting at the end of each shift.
Performed opening and closing duties, printing sales reports, setting up for incoming shift, preparing cash drawers, and taking inventory.
Efficiently opened or closed the bar according to established procedures, ensuring preparedness for each shift.
Head Baker
Appalachian Java Cafe
11.2022 - 03.2024
Mentored junior bakers in developing their skills through hands-on training sessions and constructive feedback.
Increased customer satisfaction by consistently delivering high-quality baked goods and maintaining a clean, organized work environment.
Developed new recipes while adhering to dietary restrictions, resulting in a more inclusive menu offering for diverse clientele.
Maintained detailed records of production outputs daily, allowing for proactive adjustments as needed to meet demand fluctuations swiftly.
Residential Aide/Patient Care Assistant
Grace Heights Health and Rehabilitaion Center
01.2021 - 11.2022
Developed positive rapport with residents by demonstrating genuine empathy, respect, and understanding; created a welcoming atmosphere that encouraged open communication.
Improved residents'' quality of life by providing compassionate care and assistance with daily activities.
Enhanced the residential environment by maintaining a clean, safe, and organized living space for all residents.
Provided emotional support to residents during times of distress or difficult transition periods, fostering a sense of trust and security within the community.
Observed for any signs of physical or mental health decline in residents; promptly reported concerns to appropriate personnel for evaluation and intervention if needed.
Education
High School Diploma -
Freedom High School
Morganton NC
05-2021
Skills
Claims
Claims processing
Claims investigation
Verbal communication
Microsoft office
Claims analysis
Documentation review
Timeline
Claims Specialist
Vaya Health
02.2025 - Current
Medical Receptionist
Mayrx
09.2024 - 02.2025
Bartender/Server
Carriage House Sundries
03.2024 - 09.2024
Head Baker
Appalachian Java Cafe
11.2022 - 03.2024
Residential Aide/Patient Care Assistant
Grace Heights Health and Rehabilitaion Center
01.2021 - 11.2022
High School Diploma -
Freedom High School
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