Senior Claims Processor II at Pets Best Pet Insurance with strong expertise in claims processing and risk assessment. Demonstrated ability to enhance team efficiency through mentorship and effective communication strategies. Proficient in regulatory compliance and problem-solving, resulting in improved claim accuracy and reduced turnaround time.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior Claims Processor II
Pets Best Pet Insurance
06.2023 - Current
Medical coding and process claims for policy holders
Medical Records reviews to determine compensable conditions
Risk assessment for claims processing
Call hospital to obtain further information
Peer mentor - enhance team efficiency by conducting one on one mentorship sessions with new or under performing processors provided guidance, training and support for skill development.
Hosted daily office hours to support processors with claim related questions, fostering a collaborative environment and improving claim accuracy and turnaround time.
Communicated effectively with team members across multiple departments within the organization.
Veterinary Technician in Specialty Surgery Department
1st Pet Veterinary Centers
Chandler
09.2019 - 06.2023
Provided customer service and patient care to our surgical patients and their families.
Checked in clients to obtain history of patients to be able to give the doctor a thorough understanding of the reason for the visit.
Maintained open communications (via phone or email) with clients post exam and surgical procedures.
Calculating precise medication doses prior to and during anesthesia for hospitalized patients.
Performed data entry of patient information and records for visit into patient files.
Monitoring anesthesia rates and patient vitals while assisting in surgery.
Provided clients with discharge instructions post surgery and/or hospitalization.
Presenting patient treatment plans with clients and discussing any concerns they may have.
Assist with different departments with the hospital.
Provided customer support while answering a multi-line phone system for 3 hospital locations.
Training externs in the surgical department
Payroll Clerk
Connor Contracting
Gilbert
01.2011 - 04.2023
Processing payroll bi-weekly. Including entering daily time sheets while verifying accuracy, completion and corresponding workman's comp codes.
Processing bi-weekly payroll taxes.
Processing monthly sales taxes for multiple cities and counties.
Maintained person records.
Responsible for payroll deductions and/or additional compensation for vehicle expenses.
Process all new hire and termination documentation.
Prepare monthly reports.
Efficient in 10 key.
Lead Surgical Technician
Oasis Animal Hospital
Chandler
02.2014 - 09.2019
Provided customer service and patient care.
Calculated precise medication doses prior to and during anesthesia for hospitalized patients.
Provided clients with discharge instructions post surgery and/or hospitalization.
Assisted receptionists in answering phones and strategically scheduling client appointments with corresponding doctors.
Checked in clients to obtain history of patients to be able to give the doctors a thorough understanding of the reason for the visit.
Maintained open communications (via phone or email) with clients post exam and surgical procedures.
Developed surgery policy and procedures manual
Trained technicians in surgical procedures. Such as properly placing intravenous catheters, intubation, how to properly maintain a sterile surgical field, monitoring patients vitals, identifying abnormal vital changes and how to correct them, adjusting anesthesia for proper anesthetic depth, how to properly administer injectable medications, and patient recovery.
Detailed written discharges and notes post exam and/or surgical procedures for client compliance.
Organizing and keeping updated excel logs for control drugs, monitored by the FDA.
Financial advice for diagnostic testing, supplies and charges to clients.
Veterinary Technician, Client Service Coordinator and Office Manager
Banfield the Pet Hospital
Tempe
02.2006 - 04.2014
Providing customer service at all levels of the hospital.
Providing clients with treatment plans.
Endorsing preventative care packages at a reduced cost to clients.
Daily opening and closing reports for the hospital.
Processing monthly reports for upper management.
Maintained an open communication with the upper management.
Training new hires
Education
Diploma - General Studies
Hamilton High School
Chandler
06.2003
Skills
Claims processing
Risk assessment
Team collaboration
Employee training
Regulatory compliance
Effective communication
Problem solving
Mentorship skills
Certification
Fear Free, 2020
Small Animal Dentistry, 2019
Team Leader and Management Continuing Education Award, 2019
Small Animal Anesthesia, 2018
Medical Records Review training completion, 2024
Timeline
Senior Claims Processor II
Pets Best Pet Insurance
06.2023 - Current
Veterinary Technician in Specialty Surgery Department
1st Pet Veterinary Centers
09.2019 - 06.2023
Lead Surgical Technician
Oasis Animal Hospital
02.2014 - 09.2019
Payroll Clerk
Connor Contracting
01.2011 - 04.2023
Veterinary Technician, Client Service Coordinator and Office Manager