Sheprentice Wright
Jefferson
Summary
Seeking a part- time positions as I am a results-driven professional skilled in implementation management, customer relationship management, and claims processing. Committed to delivering high-quality support and customized solutions that drive client success and enhance operational efficiency.
Overview
11
11
years of professional experience
Work History
Implementation Specialist
Allied Benefit Systems Inc.
Chicago
09.2023 - Current
- Troubleshot issues during implementation phase, ensuring smooth transition for clients.
- Supported clients post-implementation by addressing concerns and enhancing user experience.
- Implemented customizations according to customer specifications while adhering to established coding standards.
- Monitored implementation progress to ensure adherence to client deadlines.
- Served as liaison between customer support team and technical team members in order to resolve any issues or questions that arose during implementation.
- Performed quality assurance checks throughout the implementation process to verify accuracy of data entries.
- Created comprehensive user documentation outlining processes, procedures, and troubleshooting techniques.
Claims Adjudicator
Maxor Pharmacy
Bogart
02.2015 - 04.2023
- Analyzed medical records to verify diagnosis codes and services rendered, ensuring accurate claims adjudication.
- Reviewed and processed claims for accuracy and compliance with pharmacy policies.
- Utilized claims management software to track and manage claim submissions.
- Identified discrepancies in claim information and requested additional information from claimants.
- Communicated with patients regarding claim status and required documentation.
- Trained new staff on claims processing procedures and software use to ensure compliance and accuracy.
- Coordinated with pharmacy teams to streamline claims workflows, resulting in improved processing times.
- Collaborated with other departments to resolve complex cases.
- Managed workflow by prioritizing tasks according to urgency.
Education
Associate of Science - Business Administration And Management
Athens Technical College
Athens, GA06-2010
Skills
- Implementation troubleshooting
- User documentation
- Quality assurance
- Software customization
- Claims processing
- Customer relationship management
- Client support
- Data analysis
- Problem solving
- Team collaboration
- Implementation management
- Client management
- Customer support
- Telephone and email etiquette
- Billing analysis
Timeline
Implementation Specialist
Allied Benefit Systems Inc.
09.2023 - Current
Claims Adjudicator
Maxor Pharmacy
02.2015 - 04.2023
Associate of Science - Business Administration And Management
Athens Technical College