Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Excellent time management and problem solving skills.
Overview
11
11
years of professional experience
Work History
Analyst
Cigna
05.2013 - Current
Posted payments to accounts and maintained records.
Managed large volume of medical claims on daily basis.
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.
Evaluated medical claims for accuracy and completeness and researched missing data.
Verified patient insurance coverage and benefits for medical claims.
Identified and resolved discrepancies between patient information and claims data.
Processed insurance payments and maintained accurate documentation of payments.
Followed up on denied claims to verify timely patient payment and resolution.
Responded to correspondence from insurance companies.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Communicated effectively with staff members of operations, finance and clinical departments.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Coordinated with contracting department to resolve payer issues.
Maintained confidentiality of patient finances, records, and health statuses.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Made contact with insurance carriers to discuss policies and individual patient benefits.