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Marangelis Daigle

@marangelisdaigle

Resolution Specialist skilled in Medicare billing, claims research, and problem resolution.

Zimbabwe
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What I'm looking for

I’m looking for a role where I can apply my Medicare/Medicaid billing resolution experience, HIPAA-focused documentation, and reporting skills to help members quickly and accurately while partnering with providers and advocates.

I’m a Resolution Specialist focused on helping healthcare members and advocates resolve issues tied to billing and claims. In my current role, I correspond with healthcare advocates to assist medicare and retirement members with problems pertaining to billing discrepancies, authorization denials, and claims research.

I work to find inaccuracies within accounts and take the appropriate next action steps. I also maintain HIPPA guidelines, support understanding of members policy and benefits, and apply Medicare and Medicaid billing guidelines.

Before this, I served as a Team sales lead in call center operations, where I led a sales team while maintaining KPI for both the team and the center. I handled high volume inbound and outbound calls, responded to online inquiries via email, text, and social media platforms, and used a POS system to process transactions while managing inventory and orders.

I began in an Administrative Assistant role supporting day-to-day studio operations, entering information onto digital systems to maintain data quality and accuracy. Across roles, I’m known for accurate and detailed documentation, effective communication, multitasking, and conflict resolution to get issues fully resolved.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

University of West Georgia logoUG

University of West Georgia

Coursework focused on HIPAA compliance and understanding of member policy and benefits, including Medicare and Medicaid billing guidelines.

Tech stack

Software and tools used professionally

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