Camisha McCoy
Newburgh,NY
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
22
22
years of professional experience
Work History
Claims Processing Clerk
Evercare
08.2018 - Current
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Managed workload and priorities to meet claims processing meet deadlines.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Followed up with customers on unresolved issues.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
Medical Biller
CareCore National
09.2005 - 07.2015
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Delivered timely and accurate charge submissions.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Claims Representative
Elk's Pharmacy
02.2002 - 09.2005
- Analyzed and addressed escalated claims to resolve issues quickly.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Updated claims system to track claim status and provide relevant information to other department.
- Followed up with customers on unresolved issues.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
- Maintained accurate and up-to-date records of claim information for future reference.
Education
Phlebotomy
Hudson Valley Career Training
Newburgh, NY12.2017
EKG
Hudson Valley Career Training
Newburgh, NY10.2017
Skills
- Information Updates
- Contract Coordination
- Informational Releases
- Office Operations
- Financial Records
- Accounts Payable and Accounts Receivable
- Payments Posting
- HIPAA Guidelines
- Office Organization
Timeline
Claims Processing Clerk
Evercare
08.2018 - Current
Medical Biller
CareCore National
09.2005 - 07.2015
Claims Representative
Elk's Pharmacy
02.2002 - 09.2005
Phlebotomy
Hudson Valley Career Training
EKG
Hudson Valley Career Training
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