Summary
Overview
Work History
Education
Skills
Timeline
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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, MI
01-2020

High School Diploma -

Denby High School
Detroit, MI
06-2019

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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Asia Reynolds