Joan Carrington
Recovery Resolve Representative
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About
Skilled professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates provider corrections and error.
Competent Accounts
Receivable representative with 15 years of experience handling accounts receivable functions.
Experience
Substitute Teacher - Kelly Education/ Kelly Services - Miami, FL
(2023-09)
- Substitute for all grade levels and special education classes
Recovery Resolve Representative - United Healthcare Group - Miramar, FL
(2020-09 - 2023-05)
Create spreadsheets and document information for management.
- Responded to customer inquiries and provided detailed account information by correspondence only
- Maintained accurate records of provider accounts, payments and payment plans (siu reporting)
- Researched billing errors and resolving all types of dental claims discrepancies to initiate corrective action
- Researched plans and recovered overpayment from dental providers and internal and external through emails
- Analyzed and identified trends and provided reports as necessary
- Responsible for processing COB and electronic inquiries within company/department standards
- Created monthly spreadsheet analysis, and processed checks received
Senior Claims Examiner - MCNA - Fort Lauderdale, FL
(2014-05 - 2020-09)
Processed all Dental claims using Dental Trac system
- Kept updates on all Medicaid plans and policies
- Verified information and reported to other departments
- Reviewed, researched and processed claims for adjudication
Dental Claims Examiner/Customer and Call Center Representative - The Cigna Group - Plantation, FL
(1986-11 - 2006-09)
Claims review analyst/customer service and call center representative:
- Verified insurance and benefits
Education
High School Diploma - Mcclymonds High School Oakland (1977-06 - 1977-06)
