Summary
Overview
Work History
Education
Skills
Timeline
Generic

LAKEETA VOID

Vance

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. Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Pragmatic Insurance Verification Specialist touting years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.

Overview

9
9
years of professional experience

Work History

Medical Claim Specialist

AETNA/CVS
07.2023 - 02.2024
  • Examine, review, process, calculate and pay claims based on information, plan design, insurance filings, documentation and reports.
  • Administer payments based on plan information and documentation, in a timely manner.
  • Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
  • Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
  • Collaborated with healthcare providers to ensure accurate billing information was submitted, resulting in fewer denied or delayed payments.
  • Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
  • Resolved discrepancies between billed amounts and allowed charges promptly by working closely with both providers and payers, minimizing delays in payment processing times.
  • Maintained accurate patient records by diligently updating databases and following strict documentation guidelines.
  • Expedited claim resolution times with proactive communication between patients, providers, and insurance companies.

Web Support Chat Specialist

CONVERGENT/ DUKE ENERGY
02.2020 - 06.2023
  • Enhanced customer satisfaction by addressing and resolving complex inquiries through chat support.
  • Maximized response efficiency by prioritizing and handling multiple chat sessions simultaneously.
  • Reduced response wait time with quick problem identification and accurate solutions.
  • Contributed to company''s positive reputation, delivering exceptional customer service via chat channels.
  • Built rapport with customers, demonstrating empathy and understanding during chat conversations for better resolution outcomes.
  • Provide high quality, efficient and helpful responses to customer requests through channels like Zendesk emails/tickets, live chat and phone
  • Served as Point of contact for Billing Inquires via email and phone
  • Resolved Escalated issues
  • Suggest, update, and create content for our external Help Center and internal knowledge base to
  • Provided an easy, self-service customer experience (macros, help articles, etc.)
  • Flag user pain points and suggest solutions to our product team
  • Identify areas of improvement in support processes (i.e customer self-service opportunities)
  • Use tools and knowledge base efficiently to maintain low ticket processing time
  • Triage and escalate tickets as necessary to CX team leadership

Medicaid Quality Assurance Analyst

Logisticare
12.2015 - 02.2020
  • Enhanced software quality by conducting thorough testing and identifying areas for improvement.
  • Streamlined QA processes for increased efficiency and reduced time spent on redundant tasks.
  • Collaborated with development teams to identify, track, and resolve software defects in a timely manner.
  • Improved product reliability by executing rigorous test plans and ensuring software met established requirements.
  • Developed custom test scripts tailored specifically to each application''s unique requirements, resulting in more accurate assessments of performance capabilities.
  • Route and dispatched trips to third-party transportation providers and handle coordination of pre scheduled patient trips to medical facilities

● Managed state and local government agencies (Medicaid agencies, transit authorities, school boards), managed care organizations and hospitals for the states of Ga, FL, MI,CT &SC

● Sent out emails, notifications and all corresponding letters Knowledge of Medicaid guidelines and covered services

HUMAN RESOURCE ASSISTANT (Contract)

CLARK ATLANTA UNIVERSITY
11.2014 - 08.2015
  • Maximized resource utilization by implementing efficient inventory management practices.
  • Streamlined administrative processes for improved team efficiency and productivity.
  • Enhanced office organization with effective filing systems and document storage solutions.
  • Reduced supply costs by negotiating better deals with vendors and suppliers.
  • Supported executive decision-making by providing accurate and timely research findings.

● Sent out emails, notifications and all corresponding letters

● Scheduled interviews, meetings and travel arrangements for

the VP of HR

● Processed leave of absence request

● Drafted rejection letters and acceptance letters

● Verified employee time for payroll processing

● Maintained office supplies

● Handled invoices for all vendors

Education

Master of Arts - Human Resource Management

KELLER GRADUATE SCHOOL
Duluth, GA
01.2010

BACHELORS OF SCIENCE IN PSYCHOLOGY -

SOUTH CAROLINA STATE UNIVERSITY
Orangeburg, South Carolina
01.2005

Skills

● 10 years High Volume Call Center Experience

● Medical claims processing Insurance authorization & eligibility

● Medicaid and Medicare knowledge, Medical Terminology, ICD-

10 Proficiency

EOB Analysis Medica,l record review and

● HIPAA knowledge FMLA, EEO, Employment Law and the ADA

● Skilled in orienting new personnel, administering HR policies &

procedures, and recruiting & training staff, job posting

● SAP, EV5 Enterprise Systems, SharePoint, Kronos, Lotus Notes,

Microsoft Office Suite, CRM Tools, People fluent, Taleo,

PeopleSoft

● Microsoft Teams, Zoom, Slack, Skype, Zendesk, Fintech

Timeline

Medical Claim Specialist

AETNA/CVS
07.2023 - 02.2024

Web Support Chat Specialist

CONVERGENT/ DUKE ENERGY
02.2020 - 06.2023

Medicaid Quality Assurance Analyst

Logisticare
12.2015 - 02.2020

HUMAN RESOURCE ASSISTANT (Contract)

CLARK ATLANTA UNIVERSITY
11.2014 - 08.2015

Master of Arts - Human Resource Management

KELLER GRADUATE SCHOOL

BACHELORS OF SCIENCE IN PSYCHOLOGY -

SOUTH CAROLINA STATE UNIVERSITY
LAKEETA VOID