Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kylie Myers

Laporte

Summary

Results-driven Claims Analyst with expertise in claims analysis and policy interpretation at Medical Business Bureau. Demonstrated attention to detail and reliability in resolving complex medical claims issues, ensuring compliance with HIPAA regulations. Proficient in Epic, leveraging strong interpersonal communication skills to enhance customer satisfaction and streamline processes.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Claims Analyst

Medical Business Bureau
06.2023 - Current
  • Analyzed medical claims for accuracy and compliance with regulatory guidelines.
  • Reviewed claim documentation to identify discrepancies and initiate resolution processes.
  • Achieved successful resolutions on disputed claims.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Researched and resolved complex medical claims issues to support timely processing.
  • Monitored and updated claims status in claims processing system.

Customer Service Representative

One Advantage, LLC
12.2022 - 06.2023
  • Organized incoming mail received from patients, clients, and insurance companies.
  • Requested itemized statements to validate the consumer balance.
  • Monitored accounts in Epic and verified information.
  • Accessed client systems to gather more information.
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.

Data Entry Clerk

Great Lakes Labs
03.2022 - 12.2022
  • Entered and updated data with high accuracy in various databases and systems.
  • Verified and ensured integrity of records through meticulous data validation processes.
  • Maintained organized filing systems for easy retrieval of documents and information.
  • Collaborated with team members to streamline data entry procedures, improving efficiency.
  • Completed data entry tasks with accuracy and efficiency.

E-Commerce Specialist

American Licorice Company
02.2019 - 03.2022
  • Managed inventory levels to ensure the most accurate stock was available for customers.
  • Provided training and support for junior team members on e-commerce tools and best practices.
  • Double-checked customer orders and information before filling out order forms to prevent unnecessary delays and errors.
  • Maximized customer satisfaction by checking outgoing documents and shipment labels for accuracy and conformance to outlined customer requirements and preferences.
  • Informed supervisors and coworkers of inventory needs and double-checked supplies before completing customer orders.
  • Uploaded customer orders via fork lift and other appropriate tools.

Education

Associate of Science - Healthcare Specialist

Ivy Tech Community College of Indiana
12-2021

Skills

  • Claims
  • Claims analysis
  • Interpersonal and written communication
  • Policy interpretation
  • Proficient in Epic
  • MS office

Certification

  • Medical Office Administration, Ivy Tech 2021
  • Outpatient Insurance Coding, Ivy Tech 2020
  • Healthcare Specialist, Ivy Tech 2020

Timeline

Claims Analyst

Medical Business Bureau
06.2023 - Current

Customer Service Representative

One Advantage, LLC
12.2022 - 06.2023

Data Entry Clerk

Great Lakes Labs
03.2022 - 12.2022

E-Commerce Specialist

American Licorice Company
02.2019 - 03.2022

Associate of Science - Healthcare Specialist

Ivy Tech Community College of Indiana

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