Alayjah Beery
@alayjahbeery
Results-oriented Claims Processing Associate with strong problem-solving skills.
What I'm looking for
I am a dedicated Claims Processing Associate with a proven track record in managing and resolving insurance claims efficiently. My experience includes investigating claim holds, identifying underlying issues, and taking necessary actions to ensure accurate claim processing. I pride myself on maintaining a high level of accuracy while working under tight deadlines, which has been essential in my role at Discover.
In addition to my claims processing expertise, I have developed strong customer service skills as a Team Lead at Aston Carter. I have successfully led teams, conducted performance reviews, and implemented quality assurance programs that significantly increased customer satisfaction. My ability to communicate effectively and work collaboratively has been key to resolving escalated issues and improving operational efficiency.
With a background in reimbursement processes at Concentrix, I have honed my skills in managing complex billing issues and ensuring compliance with HIPAA regulations. I am committed to continuous learning and staying updated on healthcare reimbursement laws, which allows me to provide timely and accurate responses to inquiries from various stakeholders.
Experience
Work history, roles, and key accomplishments
Claims Processing Associate
Discover
Jan 2021 - Present (4 years 6 months)
Managed and resolved pending, denied, or incorrectly processed insurance claims. Investigated claim holds, identified underlying issues, and took necessary actions to resolve them. Reviewed denials, determined causes, and followed up with insurance carriers to correct claim statuses.
Customer Service Team Lead
Aston Carter
Mar 2017 - Present (8 years 4 months)
Provided exceptional customer service and support to customers, resolving escalated issues quickly and efficiently. Developed reports on team performance metrics for senior management review. Established and maintained key performance metrics and quality assurance programs to increase customer satisfaction.
Reimbursement Specialist
Concentrix
Sep 2016 - Present (8 years 10 months)
Processed payments from insurance companies according to contractual agreements. Acted as a liaison between providers and payers when disputes arose regarding claim payments or denials. Successfully managed complex billing and reimbursement issues for a high-volume organization.
Education
Degrees, certifications, and relevant coursework
Cesar Chavez
High School Diploma, General Studies
Completed high school education, gaining foundational knowledge and skills.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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