Joan Carrington

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.

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

High School Diploma - Mcclymonds High School Oakland (1977-06 - 1977-06)