Deanna Eaton
Harper Woods,MI
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
15
15
years of professional experience
Work History
Recovery Special Claims
Blue Cross Blue Shield Of MI
Detroit, MI
07.2016 - Current
- Ability to interpret and process Medicare non payment codes and interpret EOBs.
- Knowledge of eligibility files, MISOURCE files and NASCO files that relate to COB processing
- Ability to perform down-line checking to determine liability and appropriate processing.
- Good with work related problem solving, written and verbal communication skills.
- Researched claims and incident information to deliver solutions and resolve problems.
- Good math skills necessary to calculate co-pays, deductibles and totals.
Group Review Processor
Blue Cross Blue Sheild Of MI
Detroit, MI
09.2007 - 07.2016
- Selected compatible benefits in Blue Connect for subscriber benefits for current employees, and New Business.
- Maintained confidentiality of subscriber personal information to comply with HIPAA guidelines.
- Verified group rates to quoted benefits, verified subscriber ID cards with correct benefits.
- Processed GWC'S to small (50-99) and large (99+)groups. updated membership changes, cancellations and removed benefits from groups per requests.
Education
High School Diploma -
Martin Luther King Jr Sr High School
Detroit, MISkills
- Ability to identify OC cob
- Customer service written and verbal skills
- Ability to work alone with little to no supervision
- Claims Evaluations
Timeline
Recovery Special Claims
Blue Cross Blue Shield Of MI
07.2016 - Current
Group Review Processor
Blue Cross Blue Sheild Of MI
09.2007 - 07.2016
High School Diploma -
Martin Luther King Jr Sr High School
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