Aubreyanna Thompson
Oxnard,California
Summary
Dedicated claims processing specialist with a strong focus on quality assurance and high-volume data entry. Experienced in validating healthcare claims and identifying discrepancies to enhance operational efficiency and accuracy.
Overview
3
3
years of professional experience
Work History
Mailroom Associate
Gold Coast Health Plan
Camarillo, CA
05.2025 - Current
- Open, sort, categorize, and scan incoming healthcare claims, correspondence, and provider documentation according to document type.
- Review and validate healthcare documentation, including CMS-1500 claims, UB claims, HIF/MET forms, Member Grievances, Balance Billing documents, W-9s, Provider Dispute and Appeal Forms.
- Review incoming claims and provider documentation for missing or incomplete information and prepare correspondence notifying providers of deficiencies and resubmission requirements.
- Process electronically submitted Provider Disputes by reviewing documentation and transferring files from Microsoft Outlook into Tungsten for validation.
- Track daily document volumes by category and maintain accurate scanning and processing totals in department spreadsheets.
- Maintain accuracy and timely processing of high-volume healthcare documentation while following established departmental procedures.
Claims Support (Temporary)
Gold Coast Health Plan
Camarillo, CA
03.2026 - 08.2026
- Reviewed and validated CMS-1500/HCFA and UB healthcare claims for completeness and accuracy prior to processing.
- Verified claim and provider information, including rendering, billing, and service facility NPIs, provider addresses, and required claim fields.
- Identified missing, incomplete, or inconsistent claim information and followed established claims-processing guidelines to determine appropriate handling.
- Performed accurate healthcare data entry and claim validation while maintaining department quality and daily production standards in a high-volume environment.
- Supported the Claims Intake Specialist team with high-volume claim review, validation, and processing.
Processing Technician
Conduent
Camarillo, CA
04.2023 - 05.2025
- Sorted and processed incoming healthcare documentation, including health insurance claims, provider claim reconsiderations, uniform billing forms, refunds, and returned checks.
- Scanned healthcare claims and supporting documentation and performed quality checks to identify and correct scanning errors.
- Managed provider reject queue and prepared correspondence notifying providers of missing claim information, invalid charges, and other deficiencies requiring resubmission.
- Maintained spreadsheets and daily processing totals to track healthcare documents, rejected claims, and received checks.
- Responded to provider emails and supported accurate and timely processing of incoming healthcare documentation.
Education
Associate of Arts -
Santa Barbara City College
Santa Barbara, CASkills
- Attention to detail
- Data entry
- Quality Assurance
- Claims processing
- High Volume Processing
- Medical terminology
Timeline
Claims Support (Temporary)
Gold Coast Health Plan
03.2026 - 08.2026
Mailroom Associate
Gold Coast Health Plan
05.2025 - Current
Processing Technician
Conduent
04.2023 - 05.2025
Associate of Arts -
Santa Barbara City College