Beverly Hall
Bakersfield
Summary
Professional with strong background in claims processing and customer service. Skilled in evaluating, investigating, and resolving claims efficiently while maintaining compliance with regulations. Known for strong focus on team collaboration, adaptability, and achieving results. Exceptional analytical skills, attention to detail, and effective communication abilities. Proven ability to manage multiple tasks and meet deadlines in fast-paced environment.
Overview
35
35
years of professional experience
Work History
Claims Adjudicator
BFMG
05.2018 - Current
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Consistently met or exceeded performance targets for claims processing and adjudication, contributing to overall departmental success.
- Reduced errors in claims adjudication through diligent review of policies.
- Collaborated with team members and management to meet goals.
- Mentored junior team members on best practices in claims handling, fostering a collaborative and supportive workplace environment.
Reimbursement Supervisor
Pacific Pulomary
06.1990 - 08.2017
- Collaborated with other department supervisors to optimize cross-functional operations and improve overall efficiency.
- Reduced errors in billing submissions through regular staff training and implementation of quality control measures.
- Served as a liaison between the reimbursement department and external stakeholders such as insurance companies, addressing any concerns or discrepancies promptly.
- Developed performance metrics for staff evaluation, leading to higher productivity and job satisfaction levels among team members.
- Established strong relationships with insurance providers through open communication channels, improving negotiation outcomes for payment disputes.
- Conducted regular audits of reimbursement records to identify areas for improvement and ensure accuracy in reporting data.
- Worked closely with customers to resolve billing and payment issues.
Education
High School Diploma -
West High Schol
Bakersfield, CA05-1967
Skills
- Resolving member issues and questions
- Data verification
- Client rapport
- Claims processing paperwork
- Claims documentation
Timeline
Claims Adjudicator
BFMG
05.2018 - Current
Reimbursement Supervisor
Pacific Pulomary
06.1990 - 08.2017
High School Diploma -
West High Schol
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