Adeline Kinnerman
Sicklerville
Summary
Detail-oriented claims examiner with a strong background in analyzing and processing claims while ensuring compliance with health plan agreements. Skilled in resolving discrepancies and improving client satisfaction through effective communication and issue resolution.
Overview
16
16
years of professional experience
Work History
Claims Examiner
Amerihealth Caritas
01.2024 - Current
- Analyze and process claims ensuring compliance with provider and health plan agreements, verify information, resolve discrepancies, escalating complex issues.
Account Revenue Representative, Claims Specialists-Team Lead
Receivable Recovery Solution
10.2018 - 11.2023
- Locating and verifying data, verifying eligibility, processing claims, resolving issues within the claims, contacting and communicating with clients, identifying trends within claim denials, utilizing insurance websites, and entering data into a variety of systems.
Activities Assistant
Manor Care Health Services
08.2017 - 10.2018
- Interviewing residents, charting resident information, creating patient specific care plans, developing quarterly notes, scheduling programs, answering phones, creating daily schedules, and running recreational activities.
Food Service Manager
Wawa Inc.
05.2010 - 10.2016
- Inventory management, tracking sales, utilizing system reports, communicating updates, establishing goals, interviewing applicants, training staff, organizing and maintaining a clean facility, answering incoming calls, and making outbound calls.
Education
PRE-NURSING
CAMDEN COUNTY COLLEGE
BLACKWOOD, NEW JERSEY01-2019
HIGH SCHOOL DIPLOMA -
WASHINGTON TOWNSHIP HIGHSCHOOL
SEWELL, NEW JERSEY01-2010
Skills
- Claims management
- Issue resolution
- Computer Skills
- Multitasking
- Organizational Skills
- Time Management
- Communication Skills
Timeline
Claims Examiner
Amerihealth Caritas
01.2024 - Current
Account Revenue Representative, Claims Specialists-Team Lead
Receivable Recovery Solution
10.2018 - 11.2023
Activities Assistant
Manor Care Health Services
08.2017 - 10.2018
Food Service Manager
Wawa Inc.
05.2010 - 10.2016
PRE-NURSING
CAMDEN COUNTY COLLEGE
HIGH SCHOOL DIPLOMA -
WASHINGTON TOWNSHIP HIGHSCHOOL