# kennesha willis

kennesha willis is a remote worker on Himalayas, Medical Claims Examiner at First Source, based in United States.

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

```text
Medical Claims Examiner at First Source, adjudicating complex claims with 98% administrative and 99% financial accuracy.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 46k+ USD |
| Job categories | Medical Claims Examiner, Medical Claims Processor, Administrative Assistant |
| Skills | Medical Claims Adjudication, Medical Claims Processing, Claims Analysis, Claims Adjustment, Denials Management, Coordination Of Benefits, CPT Coding, HCPCS Coding, ICD 10 Coding, Medicare, Medicaid, Commercial Insurance, Managed Care, Government Insurance Plans, Fraud Waste And Abuse |

## About

```text
At First Source, I independently adjudicate complex medical claims across Medicare, Medicaid, and commercial plans. I process 300 claims per day and maintain 98% administrative accuracy and 99% financial accuracy.

I use QNXT, Claims Viewer, Molina workflow systems, and Availity to review claims, resolve denials and payment discrepancies, and comply with payer and regulatory guidelines. I also investigate coordination-of-benefits issues and overpayments or underpayments.

Previously, I processed medical claims at Accenture and supported claim resolutions, escalated customer inquiries, and identified potential fraud, waste, and abuse. I also served as an administrative assistant at Walker Enterprises, supporting executives and streamlining expense reporting and invoice reconciliation.
```

## Experience

### Medical Claims Examiner (current)

[First Source](https://himalayas.app/companies/firstsourc). Mar 2022 - Present

```text
Independently manage end-to-end adjudication of complex medical claims in a high-volume, metrics-driven environment, consistently exceeding productivity and accuracy standards. Analyze claims using QNXT, Claims Viewer, and Molina workflow systems, ensuring strict compliance with payer guidelines and regulations.
```

Skills: QNXT, Claim-Viewer, Molina, EDI, Availity, Medicare, Medicaid, Commercial-Insurance, CPT, ICD-10, HIPAA, Claims-Adjudication, Coordination-Of-Benefits, Denials-Management, Quality-Assurance, Mentorship

### Medical Claims Processor

[Accenture](https://himalayas.app/companies/accenture). May 2019 - Jan 2022

```text
Managed high-volume medical claims and complex case resolutions in a fast-paced, metrics-driven environment, ensuring timely and accurate processing. Served as a key liaison between insurance providers, patients, and internal teams to resolve claim issues and improve outcomes.
```

Skills: EDI, Availity, Medical-Terminology, HIPAA, Claims-Processing, Fraud-Waste-And-Abuse, Quality-Control, Customer-Support

### Administrative Assistant

Walker Enterprises. Mar 2017 - Apr 2019

```text
Provided high-level administrative support to executives in a fast-paced environment, managing competing priorities with minimal supervision. Streamlined administrative processes, including expense reporting and invoice reconciliation, improving efficiency and reducing processing delays.
```

Skills: Administrative-Support, Expense-Reporting, Invoice-Reconciliation, Travel-Coordination, Communication-Skills, Microsoft-Office, Time-Management

## Education

### Gwynn Park High School

High School Diploma, General Studies

```text
Graduated with a High School Diploma in May 2016.
```

### Western Governors University

Bachelor of Science, Marketing

```text
Pursuing a Bachelor of Science in Marketing.
```

## Tech stack

- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Availity

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

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