Asia Reynolds
Detroit,MI
Summary
Detailed claims processor with several years of experience investigating claim information for correctness. Trustworthy teammate with benefit knowledge and rapport-building skills. Noted for thoroughness and ethical customer service.
Overview
6
6
years of professional experience
Work History
Claims Processor
Frontdoor
Remote, Remote
01.2020 - 05.2024
- Evaluated and investigate claims thoroughly.
- Assessed eligibility for approval.
- Managed claims through a web-based platform.
- Utilized various source documents to verify and supplement data.
- Conducted follow-ups on pending documents requiring analysis.
Claims Representative
Broadpath
Remote
10.2019 - 12.2020
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Conducted research into medical terminology related to healthcare claims processing activities.
- Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
- Ensured timely submission of required documentation from claimants prior to approval of payment.
- Processed a high volume of claims efficiently while maintaining quality standards.
Customer Service Representative
Dialog Direct
Remote
02.2018 - 09.2019
- Conducted regular follow-up calls with customers after resolving their issues.
- Resolved customer complaints promptly and efficiently.
- Provided exceptional customer service to ensure customer satisfaction.
- Identified areas of improvement in customer service processes and suggested changes accordingly.
- Implemented innovative methods for streamlining the customer service process.
Education
Patient Care Technician
Dorsey College
Roseville, MI01-2020
High School Diploma -
Denby High School
Detroit, MI06-2019
Skills
- 2 years of medical and hospital claims experience
- Data entry
- Medical Terminology
- Claim processing
- Data analysis
- strong work ethic
- Advanced in excel
- Medical claims
- Billing
- ACAS claim system
- Advanced in microsoft word
- Claim investigation
- Insurance knowledge
- Teamwork and Collaboration
- Insurance Claim Forms Review
- Analytical Thinking
- Interpersonal Communication
Timeline
Claims Processor
Frontdoor
01.2020 - 05.2024
Claims Representative
Broadpath
10.2019 - 12.2020
Customer Service Representative
Dialog Direct
02.2018 - 09.2019
Patient Care Technician
Dorsey College
High School Diploma -
Denby High School
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