Chase Middleton
Detroit,MI
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
RN Analyst-II Level 5
BCBSM
10.2022 - Current
- Analyzes member data and contract information to accurately and efficiently process above the required minimum of 12 claims/day.
- Consistently achieves accuracy scores above 90% on audited claim reviews.
- Given responsibility of onboarding new hires for all job duties, including claim review and systems use.
- Acts as point person for peer-to-peer questions regarding claims.
- Maintains department quality by performing internal audits of peer case work.
- Collaborates with leadership and senior staff to present to and educate related departments.
RN Analyst Level 1
Strategic Staffing Solutions
11.2020 - 10.2022
- Analyzes member data and contract information to accurately and efficiently process above the required minimum of 9 claims/day
- Consistently achieves accuracy scores above 90% on audited claim reviews
- Promoted to Corporate Trainer with responsibility of onboarding new hires for all job duties, including claim review and systems use
- Routinely volunteers to assist with processing additional cases to help reduce claim volume and ensure claim deadlines are met
ICU Nurse
Beaumont Hospital
10.2019 - 11.2020
PCU Nurse
Beaumont Hospital
09.2017 - 10.2019
Branch Office Manager
H&R Block
09.2013 - 04.2015
Education
Bachelor of Science - Nursing
Oakland University
Auburn Hills, MI08.2017
Bachelor of Science - Biology
University of Michigan
Flint Township, MI05.2013
Skills
- Insurance Claim
- Medical Review
- Medical Terminology
- Contract Benefit Verification
- New Employee Training
- HIPAA
- NCQA Standards
- Medical Diseases
- Treatments
- BCBSM System Tools
- Ncompass
- Navigator
- Benefit Explainer
- Content Manager
Degree
BSN, RN
Timeline
RN Analyst-II Level 5
BCBSM
10.2022 - Current
RN Analyst Level 1
Strategic Staffing Solutions
11.2020 - 10.2022
ICU Nurse
Beaumont Hospital
10.2019 - 11.2020
PCU Nurse
Beaumont Hospital
09.2017 - 10.2019
Branch Office Manager
H&R Block
09.2013 - 04.2015
Bachelor of Science - Nursing
Oakland University
Bachelor of Science - Biology
University of Michigan
Similar Profiles
Jyree WarrenJyree Warren
IT Technician at BCBSMIT Technician at BCBSM
Ram GanesanRam Ganesan
IT Technical Project Manager at BCBSMIT Technical Project Manager at BCBSM
Ronnie AdamsRonnie Adams
Manager- Payment Integrity Operations at BCBSMManager- Payment Integrity Operations at BCBSM