Arnetha Goggans

Background

About Arnetha Goggans

Structured and business-minded professional known for analyzing claims, analyzing data, and inputting data. Detail-oriented and smart with great decision-making skills, as well as time management.Skills• Manage large internal projects• Educate clients, members, and providers on products• Analyze reporting files, Analyze Claims • Conducting Client Meeting via Outlook• Great time management and prioritization skills• Effective written and verbal communication• In-depth electronic and paper claims knowledge• Excellent customer Service• Knowledge in reading EOB’SKnowledge in resolving Claims ExperienceSkygenUSAMenomonee Falls, 53051August 2012 to current Provider Relations Outreach II 2021- current• Keep operations running smoothly and solved diverse problems by coordinating with customers, management and internal departments.• Quarter outreach calls to maintain accurate data in our system• Weekly Client meetings• Resolve high level overview of client issues• Resolve provider complaints including those at a state level• Complete welcome calls to newly credentialed providers• Resolving billing and claim issues with officesProvider Data Representative ll• Followed up with insurance carriers in an effort to obtain details regarding denials.• Gained a competitive advantage in the market through an exceptional network of care providers. Detailed in Microsoft office software • Keep a close eye on the data in the system to make sure the office records are accurate• Utilized effective active listening, interpersonal and communication skills in collaborating with different individuals on a daily basis.• Accurately inputted provider effective dates into the enrollment system using Enterprise.• Maintained provider enrollments in Medicare and Medicaid across 4 states. • Kept operations running smoothly and solved diverse problems by coordinating with customers, management and internal departments.Customer Service Representative• Answered inbound calls from Medicaid and Medicare dental member’s and provider’s• High level overview of claims, and authorization, and EOB questions• Multitask with several enterprise systems• Resolve complex issues with dental offices and providers Education and TrainingShorewood High SchoolHigh School Diploma Commission Notary Public/Loan Signing AgentMilwaukee, WI Cardinal Stritch UniversityCertificate in Medical Billing and CodingMilwaukee, WI, USAAdjusterPro CourseClaims Adjuster Course