Michelle Evers
Cornelia,GA
Summary
Accomplished Medical Claims Specialist with a proven track record at Sagility, enhancing claim processing efficiency and accuracy. Expert in Customer Service and Microsoft Office, with exceptional attention to detail and problem-solving skills. Known for improving customer satisfaction and streamlining workflows, demonstrating strong teamwork and communication abilities.
Overview
8
8
years of professional experience
Work History
Medical Claims Specialist
Sagility
09.2022 - 12.2024
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
- Submitted electronic/paper claims documentation for timely filing.
Records Entry Specialist
Applicant Insight
01.2022 - 09.2022
- Demonstrated adaptability when faced with new challenges or changes in responsibilities within the role of an Entry Specialist.
- Provided valuable feedback regarding potential improvements to existing systems or workflows based on daily experiences as an Entry Specialist.
- Contributed to the overall success of the company by taking on additional responsibilities beyond typical data entry tasks, such as training new hires or assisting with special projects.
- Developed a reputation for excellence by consistently demonstrating strong work ethic, reliability, and commitment to exceeding performance expectations.
Criminal Research Analyst
Lowers Risk Group
07.2019 - 01.2022
- I worked doing background checks for Florida counties for select clients.
- I sorted through court sites and court dockets.
- Increased client satisfaction by providing customized research solutions tailored to their unique business needs.
- Created and maintained database to store research data.
BDC Service Representative
Milton Martin Toyota
05.2018 - 07.2019
- Reduced no-show rates by diligently confirming appointments via phone or email reminders.
- Maintained accurate records of customer interactions, improving database quality and facilitating targeted followups.
- Streamlined appointment scheduling for improved time management and increased service appointments.
- Answered incoming customer calls to solve problems, enter orders and complete follow-up procedures.
Customer Service Representative
Carriage Automotive Group
11.2016 - 05.2018
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Called customers to conduct phone follow-ups on their service center visits.
Education
Certification - Human Resources Management
Post University
Waterbury, CT12-2019
GED -
White County Learning Center
Cleveland, GA09-2007
Skills
- Claims processing
- Medical billing
- Medical software navigation
- Customer service
- Telephone etiquette
- Proficiency in Microsoft Office
- Problem-solving
- Time management
- Teamwork and collaboration
- Attention to detail
- Multitasking
- Organizing and prioritizing work
- Reliability
- Excellent communication
Timeline
Medical Claims Specialist
Sagility
09.2022 - 12.2024
Records Entry Specialist
Applicant Insight
01.2022 - 09.2022
Criminal Research Analyst
Lowers Risk Group
07.2019 - 01.2022
BDC Service Representative
Milton Martin Toyota
05.2018 - 07.2019
Customer Service Representative
Carriage Automotive Group
11.2016 - 05.2018
Certification - Human Resources Management
Post University
GED -
White County Learning Center
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