
Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.
Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
Participate in claims workflow projects.
Responds to telephone and written inquiries and initiates steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims. Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication.
Customer/client contact.
Assist with training of staff.
Works without significant guidance.
Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
Adjustment Team- responded to written and phone inquiries.
Processed Facility Claims: High dollar, COB, Medicare, and Medicaid
Responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures.
Processed Professional Claims: COB, Medicare, and Medicaid.
Conducted rigorous quality assurance checks on financial documents, achieving a commendable 98% accuracy rate.
Implemented and maintained comprehensive quality control procedures, resulting in a 20% reduction in errors.
Collaborated with cross-functional teams to promptly address quality issues, contributing to enhanced client satisfaction.
Implemented efficient indexing processes, reducing error rates by 20% and enhancing document retrieval speed.
Conducted training sessions for team members on advanced indexing techniques, resulting in a 15% improvement in accuracy.
Enhanced indexing accuracy by implementing new software tools and refining existing processes.
Streamlined workflow for efficient document organization, reducing overall project completion time.
Achieved high-quality results with thorough research and meticulous attention to detail in indexing tasks.
Meticulously processed a high volume of financial transactions, consistently meeting or exceeding daily quotas.
Collaborated with cross-functional teams to resolve discrepancies, resulting in a 15% reduction in turnaround time.
Improved data accuracy by diligently reviewing and verifying information on processing documents.
Enhanced workflow efficiency by promptly sorting, organizing, and distributing incoming correspondence for further processing.