Christen Morris
Waterford
Summary
Dynamic Insurance Specialist with a proven track record at US Oncology Network, enhancing customer satisfaction through effective claims management and resolution of complex issues. Skilled in regulatory compliance and documentation, I successfully reduced claims processing time while maintaining high accuracy levels, demonstrating strong customer service and policy analysis capabilities.
Overview
2024
2024
years of professional experience
Work History
Insurance Specialist
US Oncology Network
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Processed eligibility and benefits verification and authorization requests.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Reduced claims processing time by effectively collaborating with adjusters, claimants, and internal departments.
Senior Medical Claims Examiner
SS&C Technologies
06.1999 - 06.2023
- Implemented quality control measures to maintain high accuracy levels in the claims examination process.
- Collaborated with healthcare providers to ensure accurate billing information, minimizing discrepancies and errors.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Paid or denied medical claims based upon established claims processing criteria.
- Managed large volume of medical claims on daily basis.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
Education
Actuarial Science
Utica College
Utica, NYAssociates Degree - Criminal Justice
Hudson Valley Community College
Troy, NY06.1995
Skills
- Documentation skills
- Policy analysis
- Regulatory compliance
- Account management
- Documentation
- Claims management
- Customer service
- Claims reporting systems
- Health insurance
Timeline
Senior Medical Claims Examiner
SS&C Technologies
06.1999 - 06.2023
Insurance Specialist
US Oncology Network
Actuarial Science
Utica College
Associates Degree - Criminal Justice
Hudson Valley Community College
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