To further my career in medical processing, accounting, financial services, while being employed by a company that recognizes my passion and talents, utilizing them to benefit company prosperity. Authorized to work in the US for any employer
Overview
18
18
years of professional experience
Work History
Claims Processor
Public Consulting Group, Inc.
Portsmouth, NH/remote
11.2021 - Current
Processed claims accurately, ensuring compliance with industry regulations and internal policies.
Coordinated with healthcare providers to obtain necessary documentation for claim resolution.
Reviewed and analyzed claims data to identify trends and discrepancies for quality assurance.
Implemented process improvements that enhanced efficiency in claims adjudication workflows.
Trained new team members on claims processing protocols and software systems.
Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
Worked appeals and corrected claims for professional, hospital and member claims.
Team Lead
Walmart
Sanford, ME
03.2017 - 12.2017
Scanned and logged inventory.
Scan and adjust business volume.
Front shelves and load with inventory.
Reformat shelves for new seasonal items.
Assist customers while creating a warm and inviting area to browse for essentials.
Manager Trainee
C.N Brown
Kennebunk, ME
08.2008 - 04.2014
Computer and paper data entry of location financials
Responsible for the transportation of multiple bank fund deposit drops weekly
Employee scheduling and payroll
Assisted in managing the overall financial operations for a high volume location
Education
G.E.D - undefined
No Degree - Medical Coding
Absolute Medical Coding Institute
Online
Skills
SQL Server Management Studio, Outlook, Excel, Organized, EZCap, Qiclink, Data Entry, Payroll, Scheduling, Cash Clerk,