Adrian Rankin
Indianapolis,IN
Summary
Detail-oriented professional with extensive experience in claims analysis and billing management. Demonstrated expertise in resolving discrepancies and improving customer satisfaction through effective problem-solving and regulatory compliance. Proven track record of enhancing operational efficiency and accuracy in billing processes.
Overview
14
14
years of professional experience
Work History
Claims Analyst
UnitedHealthcare
Indianapolis, Indiana
11.2024 - Current
- Analyzed claims data to identify discrepancies and ensure accuracy.
- Collaborated with healthcare providers to efficiently resolve claim issues.
- Processed and documented claims in compliance with company guidelines.
- Conducted investigations to gather evidence supporting claims resolution.
- Reviewed policy documents for coverage and eligibility requirements.
- Assisted in training new team members on claims processing procedures.
- Utilized claims management software for tracking and reporting statuses.
- Verified documents to confirm accuracy of customer-provided information.
Billing Coordinator
Cigna
Indianapolis, Indiana
11.2020 - 06.2024
- Managed billing processes for insurance claims and patient accounts.
- Reviewed and corrected billing discrepancies to ensure accuracy.
- Provided customer service support regarding billing inquires and disputes.
- Trained new staff on billing procedures and system usage.
- Analyzed changes in policies, procedures, regulations affecting billing operations.
- Assessed unpaid claims to identify areas of improvement in billing process.
Senior Medical Coder
Omega Healthcare
11.2022 - 05.2024
- Reviewed medical records for accurate coding and compliance with regulations.
- Maintained up-to-date knowledge of changes in coding regulations and guidelines.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Assigned appropriate ICD-10 and CPT codes to diagnoses and procedures.
- Collaborated with healthcare providers to clarify documentation discrepancies.
Benefits Enrollment Specialist
Community Heart and Vascular Hospital
Indianapolis, Indiana
11.2017 - 11.2020
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Identified needs of customers promptly and efficiently.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Assisted with customer requests and answered questions to improve satisfaction.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
Eligibility Specialist
Conduent
Indianapolis, Indiana
11.2011 - 11.2015
- Conducted interviews to gather information from applicants and clients.
- Reviewed documentation to determine compliance with program requirements.
- Monitored cases for compliance with program requirements through regular contact with participants or review of documents submitted.
- Researched discrepancies on case files to determine client's eligibility status.
- Maintained current knowledge of rules, regulations, policies and procedures governing public assistance programs.
- Verified income levels and other pertinent data to ensure accuracy of information provided by applicants.
Education
Certificate - Medical Accountant
Ultimate Medical Academy
Clearwater, FL11-2026
High School Diploma -
Salisbury High School
Salisbury05-2008
Skills
- Claims analysis and trend assessment
- Billing management
- Medical coding and compliance
- Customer service and support
- Data verification and interpretation
- Regulatory knowledge
- Team collaboration
- Problem resolution
Timeline
Claims Analyst
UnitedHealthcare
11.2024 - Current
Senior Medical Coder
Omega Healthcare
11.2022 - 05.2024
Billing Coordinator
Cigna
11.2020 - 06.2024
Benefits Enrollment Specialist
Community Heart and Vascular Hospital
11.2017 - 11.2020
Eligibility Specialist
Conduent
11.2011 - 11.2015
Certificate - Medical Accountant
Ultimate Medical Academy
High School Diploma -
Salisbury High School