Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
3
3
years of professional experience
Work History
Medical Insurance Representative
UCHealth Poudre Valley Hospital
05.2021 - Current
Improved patient satisfaction by efficiently processing medical insurance claims and addressing inquiries.
Streamlined claim processing for faster reimbursement, utilizing knowledge of insurance policies and procedures.
Managed high call volume while maintaining accuracy and professionalism in documentation of interactions with customers.
Assisted patients with understanding their benefits, coverage limitations, and financial responsibilities related to medical services received.
Demonstrated adaptability by staying flexible in adjusting priorities according to changes in workload or organizational needs.
Evaluated medical claims for accuracy and completeness and researched missing data.
Reviewed provider coding information to report services and verify correctness.
Reduced claim denial rates with thorough reviews of medical records and accurate coding practices.