Cheryl Edwards
Tulsa,Oklahoma
Summary
Claims Examiner with deep knowledge of the Medical claims industry. Solid abilities in developing objectives and strategies to settle patient claims. Excellent skills compiling, coding, categorizing and auditing information to process claims.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
17
17
years of professional experience
Work History
Claims Examiner
Kelly Services
03.2023 - Current
- Investigated and processed Medical insurance claims for policyholders.
- Finalized medical files for insurance claim payment release.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Examined claims forms and other records to determine insurance coverage.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Technical Support Specialist
AT&T
07.2012 - 04.2022
- Assisted customers in identifying issues and explained solutions to restore service and functionality.
- Explained technical information in clear terms to promote better understanding for non-technical users.
- Resolved diverse range of technical issues across multiple systems and applications for customers and end-users across various time zones.
- Responded to support requests from end-users and patiently walked individuals through basic troubleshooting tasks.
- Followed up with clients to verify optimal customer satisfaction following support engagement and problem resolution.
Order Processor
Fabricut
03.2007 - 03.2012
- Processed customer orders in line with established policies and procedures.
- Examined orders to confirm accuracy, completeness and adherence to customer requirements.
- Monitored and tracked inventory to achieve prompt order fulfillment.
- Input order information into system and updated customer accounts to document and track customer orders.
- Communicated with customers to address order inquiries, changes and cancellations.
- Processed and handled customer complaints, answering questions and providing alternative solutions.
Education
Certified Medical Administrative Assistant - Medical
Wings Healthcare
Broken Arrow, OK11.2022
Skills
- Data Verification
- Claims Evaluation
- Claims Processing
- Claims Investigation
- Claims Adjustment
- Complex Problem Solving
- Policy Investigations
- Healthcare Common Procedures Coding System (HCPCS)
- Customer Service and Support
- Verbal and Written Communication
Timeline
Claims Examiner
Kelly Services
03.2023 - Current
Technical Support Specialist
AT&T
07.2012 - 04.2022
Order Processor
Fabricut
03.2007 - 03.2012
Certified Medical Administrative Assistant - Medical
Wings Healthcare
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