Clarissa Cheney
Gilbert,United States
Summary
Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Bilingual go-getter committed to handling claims expeditiously.
Overview
6
6
years of professional experience
Work History
Medical Claims Processor
IQVIA
11.2021 - 10.2023
- 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.
- Researched and resolved complex medical claims issues to support timely processing.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Claims Processor
Sedgwick CMS
01.2019 - 08.2021
- 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.
- Monitored and updated claims status in claims processing system.
- Paid or denied medical claims based upon established claims processing criteria.
- Identified and resolved discrepancies between patient information and claims data.
Team Leader
Cardinal Health
10.2017 - 01.2019
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Built strong relationships with customers through positive attitude and attentive response.
- Held weekly team meetings to inform team members on company news and updates.
Education
Bachelor of Science - Healthcare Administration
Bryant And Stratton College - Newport News
Newport News, VA05.2021
Skills
- Benefits Guidelines
- Telephone Etiquette
- Customer Satisfaction
- Computerized Maintenance Management Systems
- Microsoft Project
- Microsoft Office
- Claims Preparation
- Settlement Verification
- Thorough Claims Reviews
Timeline
Medical Claims Processor
IQVIA
11.2021 - 10.2023
Claims Processor
Sedgwick CMS
01.2019 - 08.2021
Team Leader
Cardinal Health
10.2017 - 01.2019
Bachelor of Science - Healthcare Administration
Bryant And Stratton College - Newport News