Cydnee Leeth
Owensboro,KY
Summary
Knowledgeable and dedicated claims professional with extensive experience in the industry. Motivated to maintain efficiency and contribute to company success. Energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
6
6
years of professional experience
Work History
Provider Services Representative
BCBSMA
08.2024 - Current
- Resolve complex provider inquiries regarding medical claims, benefits, authorizations, and reimbursement by analyzing plan policies, contracts, and claim history.
- Research and troubleshoot claim discrepancies by reviewing multiple systems, identifying root causes, and coordinating with internal departments for timely resolution.
- Deliver high-quality customer service via phone while managing high call volumes, documenting interactions accurately, and meeting productivity and quality standards.
Claims Analyst
Gainwell (Contractor)
10.2022 - Current
- Viewed reports regularly to make sure processing was conducted efficiently.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Paid or denied medical claims based upon established claims processing criteria.
Health Claims Specialist
State Farm Mutual Automobile Insurance Company
07.2019 - 06.2020
- Managed large volume of medical claims on daily basis.
- Evaluated accuracy and quality of data entered into claim system.
- Maintained knowledge of claims principles, medical terminology and procedures and HIPAA regulations.
Education
Technical Degree - Information Technology/Interactive Media
Pike County Career Technology Center
Piketon, OH05.2015
High School Diploma -
Western High School
Latham, OH05.2015
Skills
- Excellent customer service
- Creative problem solving
- Account management
- Multitasking
- Computer skills
- MS Office
- Analytical skills
- Written Communication
- Flexible & Adaptable
- Critical thinking
- Claims Review
Timeline
Provider Services Representative
BCBSMA
08.2024 - Current
Claims Analyst
Gainwell (Contractor)
10.2022 - Current
Health Claims Specialist
State Farm Mutual Automobile Insurance Company
07.2019 - 06.2020
Technical Degree - Information Technology/Interactive Media
Pike County Career Technology Center
High School Diploma -
Western High School