Arica Freeman
Jean
Lancaster,TX
Summary
Accomplished (Contract Medical Claims and Medicare EOB examiner) and receptive to client needs. Successful at managing the task lists of even the most demanding business.. Experienced Medical Insurance Specialist was successful at managing high caseloads in fast-paced environments. Organized, driven, and adaptable with excellent planning and problem-solving abilities. Offering 20 years of experience and willingness to take on any challenge.
Overview
26
26
years of professional experience
Work History
Medical Claims Processor
UnitedHealth Group
Dallas, Tx
12.2018 - Current
Devised and maintained office systems to efficiently deal with paper flow. Processed and tracked medical insurance claims. Review and explained filing of Medicare Claims.Reviewed and explained EOB of Medicare ClaimsAnswered phone calls about Medicare Payments
- Gained strong leadership skills by managing projects from start to finish.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Medical Claims Examiner
CSRG/Perot/ Dell
Plano, TX
01.2002 - 04.2006
Observed strict confidentiality and safeguarded all patient-related information. Examined Medical Claims to pay per policy guidelines.Conducted adjustments to claims that were processed incorrectly.Received and reviewed audits to be corrected.Clarified diagnosis, date of service, provider ID, and CPT codes when need.Input provider information on system.
Medical Claims Examiner College Student Insurance
UICI / Health Market
Irving, TX
11.1997 - 12.2001
Answered policy holder and provider questions about claims.Process medical claims of college students in certain states.Received and reviewed audits.Processed adjustments of incorrect auditsInput provider information on system.
Education
none - Basic
Studied basic course work
High School Diploma - Basic
1979
Studied major course work to obtain my High School Diploma
Skills
- Problem resolution ability
- Medicare Claims Assisting specialist
- Healthcare billing procedure
- Quick problem solver
- Medical terminology knowledge
Accomplishments
Documentation
- Ensured EOB accuracy through precise documentation.
- Maintained compliance with regulatory standards by Medicare.
Timeline
Medical Claims Processor - UnitedHealth Group
12.2018 - Current
Medical Claims Examiner - CSRG/Perot/ Dell
01.2002 - 04.2006
Medical Claims Examiner College Student Insurance - UICI / Health Market
11.1997 - 12.2001
Cedar Valley College - none, Basic
South Oak Cliff - High School Diploma, Basic