Deontriniece Kendrick

I am looking for an opportunity to demonstrate my organizational, customer service, communication, and project management skills. I am a self-motivated business minded professional with a talent for quickly mastering technology. I am very diplomatic and tactful with professionals and nonprofessionals at all levels.

I am accustomed to handling sensitive, confidential records and have demonstrated history of producing accurate and timely reports. I am flexible and versatile to learning new and existing information. I am poised and competent with demonstrated ability to easily transcend cultural differences.

I thrive in deadline-driven environments with excellent team building skills.

Medical Review Inquiry Associate - Blue Cross Blue Shield of Alabama

(2023-01 - 2026-12)

• Handled high volume inquiries from internal customers, providers, Home Plans and subscribers accurately, efficiently and effectively.
• Educating claims, verifying benefits, and upholding company policy while exceeding quality and production goals.
• Independently managed and exceeded weekly department goals and special projects.
• Review and request medical records and submit requested records through the Inter-Plan Processing System (ITS).

Claims Coordinator - Blue Cross Blue Shield of Alabama

(2020-01 - 2023-12)

• Responsible for timely and accurate response to Workflow Distribution Management System (WDMS) peer review and transfer requests.
• Assisting in the development, training, and mentoring of Claims division associates.
• Creating, monitoring, and researching query and report data to identify trends.
• Ensuring the accuracy of group benefit changes, and facilitating the reconciliation of benefit accumulators.
• Testing and verifying the accuracy of system implementations.
• Participating in BlueCard, group administrator, and vendor interactions.
• Participating in external claim processing audits, reviewing claim and inquiry data, and for Plan Performance.
• Support management by the daily monitoring of inventory levels and assist with prioritizing aged inventory and high-profile claim issues.

Claims Research Associate - Blue Cross Blue Shield of Alabama

(2017-01 - 2020-12)

• Handled high volume inquiries from internal customers, providers, Home Plans and subscribers accurately, efficiently and effectively.
• Educating claims, verifying benefits, and upholding company policy while exceeding quality and production goals.
• Independently managed and exceeded weekly department goals and special projects.
• Became a trusted and knowledgeable representative known to meet goals with exceptional quality of work, mentoring colleagues, great flexibility and positive attitude.

Front Office Coordinator - Brookwood Hospital- Tomeka Roberts M.D., PC

(2009-01 - 2017-12)

• Worked in several EMR/EHR systems such as Cerner, Abraxsys and Medisys.
• Supervise front office operations including training, developing, and motivating staff members.
• Manage all aspects of day-to-day operations.
• Successfully prioritize tasks, meet stringent deadlines, and independently make necessary decisions to maintain daily operations.
• Process accounts payable/receivable, invoicing, billing, and budgeting.

High School Diploma - P. D. Jackson Olin High School (2008-05)

Therapeutic Massage Diploma - Therapeutic Massage - Virginia College (2010-05)