Kayana Albritton
@kayanaalbritton
Experienced customer service representative in healthcare insurance.
What I'm looking for
As a dedicated customer service representative with extensive experience in the healthcare insurance industry, I excel in managing and resolving healthcare claims and benefit inquiries. My role at Aetna/CVS Health has honed my ability to communicate effectively with members, ensuring they understand their health insurance benefits and receive timely assistance. I take pride in my problem-solving skills and thrive in fast-paced environments, always aiming to provide the best support possible.
Throughout my career, I have developed a strong knowledge of medical coding and billing processes, which allows me to identify discrepancies and efficiently resolve claim denials. My previous positions at US Health and USAA have further strengthened my ability to interview clients, determine eligibility for benefits, and provide operational support. I am committed to helping clients navigate their healthcare needs and ensuring they receive the services they require.
Experience
Work history, roles, and key accomplishments
Health Concierge
Aetna/CVS Health
Feb 2023 - Present (2 years 3 months)
Managed and resolved healthcare claim and benefit inquiries from members via phone, email, and written correspondence, ensuring clear communication and timely resolution. Assisted members in understanding their health insurance benefits, including coverage details, cost-sharing, provider networks, and claims status.
Health Concierge
Aetna/CVS Health
Feb 2023 - Present (2 years 3 months)
Managed and resolved healthcare claim and benefit inquiries from members via phone, email, and written correspondence, ensuring clear communication and timely resolution. Assisted members in understanding their health insurance benefits, including coverage details, cost-sharing, provider networks, and claims status. Supported claims processing and adjudication by reviewing and verifying medical co
Member Services
US Health
Sep 2021 - Mar 2022 (6 months)
Interviewed clients to determine benefits and assistance eligibility. Facilitated appointments, referrals, and hand-offs, while providing resources and materials to clients.
Account Specialist
USAA
Jan 2021 - Aug 2021 (7 months)
Followed written risk and compliance policies and procedures for business activities. Provided operational support to members with their banking needs on a single banking product.
Member Services
US Health
Sep 2021 - Mar 2022 (6 months)
Interviewed clients to determine benefits and assistance eligibility, facilitating appointments, referrals, and hand-offs. Provided resources and materials to clients, enabling them to apply for and receive services.
Account Specialist
USAA
Jan 2021 - Aug 2021 (7 months)
Provided operational support to members with their banking needs on a single banking product, following written risk and compliance policies and procedures. Reviewed accounts and processed transactions that may require regulatory action, identifying and confirming member requests to resolve issues and explore banking needs.
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Kayana hasn't added their education
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