Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Bilingual go-getter committed to handling claims expeditiously.
Overview
7
years of professional experience
Work History
51 Oakwood, Inc
Medical Claims Processor
03.2021 - Current
Job overview
Evaluated medical claims for accuracy and completeness and researched missing data.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Verified patient insurance coverage and benefits for medical claims.
Monitored and updated claims status in claims processing system.
Responded to correspondence from insurance companies.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
SUBWAY®Restaurants
Assistant Manager
06.2020 - 03.2021
Job overview
Supervised day-to-day operations to meet performance, quality and service expectations.
Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
Mentored team members to enhance professional development and accountability in workplace.
Creative Learning Workshop
Direct Support Professional
10.2016 - 02.2020
Job overview
Assisted disabled clients to support independence and well-being.
Administered medication as directed by physician.
Maintained clean, safe, and well-organized patient environment.
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
Monitored clients to assess and report physical and behavioral changes to supervisors.
Education
Alliance Career Centre
, Alliance, OH
National Certified Insurance & Coding Specialist from Medical Billing And Coding With Office Admin.
03.2021
Skills
Amount Calculation
Prior Authorization Processing
Microsoft Dynamics
Composing Business Correspondence
Billing Software
Insurance Claims Management
ICD Codes
Claims Preparation
Medical Terms and Procedure Knowledge
Insurance Plan Verification
Timeline
Medical Claims Processor
51 Oakwood, Inc
03.2021 - Current
Assistant Manager
SUBWAY®Restaurants
06.2020 - 03.2021
Direct Support Professional
Creative Learning Workshop
10.2016 - 02.2020
Alliance Career Centre
National Certified Insurance & Coding Specialist from Medical Billing And Coding With Office Admin.
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