Darlene Cook has a work experience spanning over multiple companies and roles. Darlene started their career at FairPay Solutions in 2006 as a QA Specialist, where they managed the day to day processes of the Group Health Specialty medical claims and customer service department. During their time there, they created an Implant Database, worked closely with managers, negotiations, sales, and customers to ensure timely processing of claims and resolutions of customer requests, resolved escalated customer service calls, and performed manual repricing of inpatient, outpatient, and specialty claims. Darlene also analyzed information and evaluated results to improve processes.
In 2012, Darlene joined Dell Inc. as an Operations Specialist. Darlene'sresponsibilities included claims operations and refund research, adding new providers and editing the existing database, researching medical claims, and posting checks. Darlene also verified commercial and noncommercial claims for payment processing, compiled, coded, categorized, calculated, tabulated, audited, or verified information or data, and monitored performance and made improvements or corrective actions.
Most recently, Darlene worked at HealthSmart as a System Administrator starting in 2014. Darlene'sspecific role titles are not provided, but they had ongoing positions as a system administrator. No specific start or end dates are given for these positions.
Overall, Darlene has extensive experience in the healthcare industry, with a focus on medical claims, customer service, process improvement, and system administration.
Darlene Cook has pursued various education programs throughout their career. In 2005, they attended North Central Texas College and obtained certificates in customer relationships and leadership, medical terminology, CPT, ICD'9, and HCPC. In 2003, Darlene enrolled at Dearborn Leonard for a program on workers compensation adjusting, but no degree was specified. Darlene also completed a train-the-trainer program in development and training at First Health in 2002, earning a certificate. In 1989, Darlene began studying Computer Science at DeVry University in Irving, Texas, where they were expected to earn a degree. Lastly, Darlene attended McLennan Community College at an unknown time and received certification as a Nursing Assistant. Additionally, they have obtained several certifications in various subjects, including HNC Insurance Solution in 1999, Medical Terminology, CPT, ICD9, and HCPC Outpatient Diagnosis coding in 2008, Customer Relation and Leadership in 2005. There is also a mention of certifications in Hippa, Ethic Training, Time management, and General Privacy, but the details regarding the institution and obtainment are not provided.
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