# Ajalon Dunn

Ajalon Dunn is a remote worker on Himalayas, Customer Support Agent II at KECH, Inc., based in United States.

Source: https://himalayas.app/@ajalondunn

```text
Medical coding professional at KECH, INC. reviewing professional and facility claims and supporting accurate claim determinations.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 60k+ USD |
| Job categories | Medical Coder |
| Skills | Medical Coding, CPT, HCPCS Level II, ICD 10 CM, Medical Record Abstraction, Clinical Documentation Review, Claims Review, Facility Claims, Modifier Requirements, NCCI, MUE, Coding Guidelines, Payer Guidelines, CMS Guidelines Familiarity, Claims Analysis |

## What I'm looking for

```text
I’m seeking an entry-level medical coding role where I can apply coding guidelines and my experience reviewing medical records and claims.
```

## About

```text
At KECH, INC., I review professional and facility claims across multiple medical specialties, using payer policies and Health.mil guidelines to support accurate claim determinations.

I also process authorization and referral requests, checking requirements against beneficiary eligibility, plan benefits, and payer guidelines. Through Availity, I assist providers with submissions and required documentation.

My coding experience includes applying CPT, HCPCS, ICD-10-CM, modifier requirements, NCCI edits, and MUEs. I’ve also abstracted and reviewed medical records to support claims, denials, appeals, and reconsiderations.

I hold the AAPC Certified Professional Coder Apprentice (CPC-A) credential and am pursuing a Bachelor of Science in Health Care Administration at Eastern Kentucky University. I protect confidential records in accordance with HIPAA requirements.
```

## Experience

### Customer Support Agent II (current)

KECH, Inc.. Feb 2025 - Present

```text
Reviewed professional and facility claims across multiple medical specialties, using payer policies and Health.mil guidelines to support accurate claim determinations. Processed authorization and referral requests, verifying requirements against beneficiary eligibility, plan benefits, and payer guidelines.
```

Skills: CPT, HCPCS, ICD-10-CM, Modifier-Requirements, NCCI, MUE, Payer-Guidelines, HIPAA, Availity, DEERS, TIN, NPI

### Marketplace Enrollment Representative

Pearl Interactive Network. Oct 2024 - Jan 2025

```text
Reviewed health insurance enrollment applications for accuracy, completeness, and compliance with Marketplace guidelines. Evaluated consumer eligibility and insurance plan information to support appropriate enrollment decisions.
```

Skills: Health-Insurance, Eligibility-Verification, Healthcare-Terminology, Privacy-Compliance

### Humana Medicare Tier 2 Representative

Senture LLC. Jun 2023 - Dec 2023

```text
Assisted Medicare members with inquiries related to medical records, claims, authorizations, eligibility, and plan benefits. Explained Medicare Parts A, B, C, and D benefits, including Dual Eligible Special Needs Plans (D-SNP), after reviewing member information.
```

Skills: Medicare, Claims, Authorization, Eligibility, HIPAA, DSNP

## Education

### Eastern Kentucky University

Bachelor of Science, Health Care Administration

```text
Pursuing a Bachelor of Science in Health Care Administration, currently in progress.
```

## Tech stack

- Salesforce
- Microsoft Teams
- Microsoft Excel
- Microsoft Outlook
- Availity

To contact Ajalon, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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