Professional Summary
Overview
Work History
Education
Skills
Timeline

Duana Wells

Memorial Heart Institute - CommonSpirit
Apison,TN
18
years of professional experience

Trustworthy and dependable with a strong work ethic and pleasant demeanor. Efficient time management with an eye for detail, quality, and accuracy. Years of experience managing documentation and privacy needs of diverse groups.

Work History

Payment Posting Supervisor

5 Years 6 Months
Memorial Heart Institute - CommonSpirit | 02.2021 - Current
  • supervise team of 7 payment posters in the accurate and timely posting of insurance and patient payment to outstanding account balances.
  • research and advise correct patient responsibility, provider adjustments, and determine whether any forwarding balances or recoupment are present on remittance.
  • assist accounting with balancing ledges monthly, as well as fiscal and year end close.
  • communicate with patient accounts, hospital billing, and insurance accounts payable representatives.

Stay at Home Mom

2 Years 6 Months
Emma Grace Wells | 05.2018 - 11.2020
  • managed the day-to-day operations of a household
  • developed the heart, soul, and mind of the most precious child
  • supplemented household income with elder caregiving as a part time employee of Home Instead Senior Care

Customer Service Representative

3 Years 2 Months
Blue Cross Blue Shield of TN | 02.2015 - 04.2018
  • Handled incoming phone calls for Bluecare Tenncare Medicaid customer service
  • answered member inquiries concerning benefits and services including locating participating providers, assisting in arranging medical transportation, making appointments, resolving billing issues, etc.
  • answered provider inquiries concerning denied claims, member eligibility, prior authorization requirements, appeals status, etc.
  • attained expert level status, cross-trained across all Bluecare lines of business including outbound calls.
  • worked as backup technical team leader for 2 call center teams.

Special Education Teacher

3 Years
Bradley County Schools | 08.2011 - 08.2014
  • responsible for individualized instruction for students with moderate to profound learning and behavior challenges.
  • modified and differentiated whole group and small group instruction to allow each child to participate at his or her own level.
  • collaborated with regular education teachers to develop opportunities for inclusion with peer groups.

Elementary School Teacher

2 Years 9 Months
Hamilton County Schools | 08.2008 - 05.2011
  • developed and implemented engaging lesson plans for kindergarten and 1st grade students to foster foundational skills and a love for learning
  • responsible for whole and small group instruction
  • differentiated curriculum to meet student needs
  • Guided Reading
  • Writer's Workshop
  • Everyday Math
  • created lesson plans to align with Tennessee state standards in the areas of science and social studies.

Education

Master of Arts - Education

Lee University | Cleveland, TN | 08-2009

Master of Science - Psychology

University of Tennessee At Chattanooga | Chattanooga, TN | 12-2007

Skills

Communication
Problem solving
Adaptability
Active listening
Empathy
Conscientious
HIPAA compliance
Data entry proficiency

Timeline

Payment Posting Supervisor

Memorial Heart Institute - CommonSpirit
02.2021 - CurrentRead More

Stay at Home Mom

Emma Grace Wells
05.2018 - 11.2020Read More

Customer Service Representative

Blue Cross Blue Shield of TN
02.2015 - 04.2018Read More

Special Education Teacher

Bradley County Schools
08.2011 - 08.2014Read More

Elementary School Teacher

Hamilton County Schools
08.2008 - 05.2011Read More

Lee University

Master of Arts from Education
Read More

University of Tennessee At Chattanooga

Master of Science from Psychology
Read More
Duana Wells