Dana Israel
West Lafayette,OH
Summary
Seasoned insurance specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.
Overview
5
5
years of professional experience
Work History
Short Term Disability Claim Specialist
Metlife
West Lafayette , Ohio
10.2021 - Current
- Reviewed policies and procedures regularly to ensure they are up-to-date with industry standards.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Processed claims with claimants due to disability
- Inbound and outbound calls with HCP and claimants
- Reviewing medical documentation with decision making process to determine eligibility of disability
- Making assessment if correct coding of Icd-10 is appropriate
- Resolved difficult issues promptly while maintaining a high level of professionalism.
- Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
- Assisted claimants, providers and clients with problems or questions regarding claims.
Billing Specialist
MVHC
Coshocton , Ohio
09.2019 - 10.2020
- Submitted claims to insurance companies.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Performed data entry into accounting software programs such as Epic
- Posting payments from insurance companies and patients
- Inbound and outbound calls with insurance companies for claims dispute correspondence and corrections
- Icd coding
Education
Medical Assistant - Medical
Bradford School
Columbus, OH05-1997
High School Diploma -
Newcomerstown High School
Newcomerstown, OH05-1996
Skills
- Policy interpretation
- Financial posting of payments
- Legal compliance
- Claims investigation
- Billing and coding of medical claims
- Coding and claim submission of short term disability
Timeline
Short Term Disability Claim Specialist
Metlife
10.2021 - Current
Billing Specialist
MVHC
09.2019 - 10.2020
Medical Assistant - Medical
Bradford School
High School Diploma -
Newcomerstown High School