Ariel Cheffen
Irving,Texas
Summary
Efficient billing professional with 6 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
6
6
years of professional experience
Work History
Insurance Billing Specialist
Guardian Light Home Health Care Llc
10.2022 - Current
- Enhanced claim accuracy by meticulously reviewing and verifying patient insurance information.
- Increased revenue collection by diligently pursuing outstanding claims and negotiating with insurance companies
- Process claims, payment posting, reviewing and resolving any billing issues
- Maintain accurate documentation and patient records required for claim submission, recordkeeping and recording
Claims Processor Contract
Conduent
10.2020 - 10.2022
- Processed medical reimbursement claims, applied billing codes consistent with government regulatory standards
- Processed referrals based upon insurance plans as well as following up on outstanding authorizations and accurately documenting events in EMRs
- Managed over 50 customer calls per day
- Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
Claims Processor
IQOR
08.2017 - 10.2019
- Collection calls for Medicare Plan recipients
- Enhanced claim processing efficiency by implementing new software and streamlining procedures.
- Implemented and monitored calls scripts, call procedures and programs to maximize customer satisfaction
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Implemented cost-saving measures by identifying unnecessary expenses in the claims process.
Education
High School Diploma -
Shawnee Mission Northwest High
Shawnee, KS05.2017
Skills
- Empathetic
- Compassion
- Trustworthy
- Prior authorizations
- Communication
- Computer skills
- Customer service
- Payment Posting
- Medical Terminology
- Knowledge of EMR systems Epic and Meditech
- Data Entry Accuracy
- Adaptability
- Patient Confidentiality
Timeline
Insurance Billing Specialist
Guardian Light Home Health Care Llc
10.2022 - Current
Claims Processor Contract
Conduent
10.2020 - 10.2022
Claims Processor
IQOR
08.2017 - 10.2019
High School Diploma -
Shawnee Mission Northwest High
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