Kasandra Crissen
@kasandracrissen
Detail-oriented Health Insurance Specialist with extensive claims management experience.
What I'm looking for
I am a dedicated Health Insurance Specialist with a strong background in claims management, provider enrollment, and emergency response operations. My experience has equipped me with the skills to manage high caseloads effectively while thriving in fast-paced environments. I take pride in my ability to maintain compliance with industry regulations and streamline operations to enhance customer satisfaction.
In my current role as a Provider Enrollment Analyst II at WPS Health Systems, I manage provider enrollments for Medicare benefits, ensuring timely and accurate processing. My previous experience as a Claims Representative involved verifying insurance benefits and investigating fraudulent claims, which helped minimize financial losses for the organization. I have also worked as a Corrections Officer and 911 Emergency Dispatcher, where I honed my critical thinking and problem-solving skills in high-pressure situations.
Experience
Work history, roles, and key accomplishments
Provider Enrollment Analyst II
WPS Health Systems
May 2024 - Present (1 year)
Managed provider enrollments for Medicare benefits, ensuring timely and accurate processing. Conducted meticulous data entry and maintained compliance with regulations, processing large volumes of applications in a fast-paced environment.
Claims Representative
WPS Health Solutions
Jul 2023 - May 2024 (10 months)
Verified insurance benefits and maintained patient confidentiality. Investigated fraudulent claims to minimize financial losses and collaborated with stakeholders to resolve escalated claims efficiently.
Corrections Officer
Florida Department of Corrections
Jun 2022 - Jun 2023 (1 year)
Maintained a secure environment in correctional facilities and prepared detailed reports for legal proceedings. Strengthened emergency protocols by conducting drills and scenario assessments and safeguarded public safety through inmate transportation.
911 Emergency Dispatcher
Jacksonville Fire and Rescue Department
Jun 2020 - Jun 2022 (2 years)
Operated emergency communication systems, efficiently dispatching services during high-priority calls. Maintained accurate records, reduced procedural errors, and provided mentorship to new dispatchers.
Education
Degrees, certifications, and relevant coursework
Kasandra hasn't added their education
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