Angela Chamberlain
Upper Marlboro,MD
Summary
Adept at managing high-volume claims processing, I've excelled at CareFirst BCBS of DC by ensuring accuracy and compliance, leveraging expertise in medical terminology and claims review for over 23 years. Renowned for exceptional organizational skills and teamwork, consistently prioritized tasks to meet critical deadlines, enhancing operational efficiency without compromising quality.
Overview
23
23
years of professional experience
Work History
Claims Processor III
CareFirst BCBS of DC
07.2016 - Current
- Experienced in processing of Medical Professional and Hospital Claims, Over 65, Under 65, ACA, Special Processing, Medicare Exhaust and Adjustments while working on the Commercial team.
- Assigned by Management to work Special Projects.
- Side chair and desktop training of co-workers and peers.
- Received multiple awards /incentives for my outstanding production and quality while processing on the Commercial team.
- Served as a Subject Matter Expert/SME on the Commercial side without the title.
- Experienced in processing of ITS Medical Professional, Hospital, Multi-Plan, Emergency on Hold 2, COB, Medicare Supplement, Newborn and etc.
- One of the first to be trained on the new Facets G6 platform and later assisted with the training of the rest of are ITS team.
- The designated processor for ITS working with the G6 cognizant team to help resolve errors while working in G6 in the PROD and DIAG region with multiple ride-alongs since March of this year 2024.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
Claims Processor II
CareFirst BCBS of DC
07.2001 - 07.2016
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Experienced in Medical Professional and Hospital for Over 65, Under 65, ACA and Adjustments.
- Maintained high production and quality ratings in which I received multiple awards and incentives.
Education
High School Diploma -
Crossland High School
Temple Hills, MD05.1993
Skills
- Medical Professional and Hospital Claims Processing
- Above Target Production and Quality Ratings
- Strong Interpersonal Skills
- Extensive Medical Policy Knowledge
- Teamwork and Collaboration
- Problem-Solving
- Eager to Accept Additional Task and New Assignments
- Organizational Skills
- Excellent Written and Oral Communication Skills
- Strong Knowledge on Both Legacy and G6 Platforms
- Quick Learner
Timeline
Claims Processor III
CareFirst BCBS of DC
07.2016 - Current
Claims Processor II
CareFirst BCBS of DC
07.2001 - 07.2016
High School Diploma -
Crossland High School
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