Deena Hacker
Middletown,OH
Summary
Account Services Specialist at Humana Health Plans with expertise in claims processing and regulatory compliance. Proficient in data analysis and problem resolution, enhancing customer satisfaction through thorough audits and investigations. Ensures adherence to industry standards while building strong client relationships.
Overview
19
19
years of professional experience
Work History
Account Services Specialist
Humana Health Plans
Cincinnati, OH
01.2003 - 05.2022
- Enhanced customer satisfaction through effective problem resolution with knowledgeable and friendly service.
- Maintained current knowledge of relevant laws, regulations and industry trends affecting claims processing operations.
- Analyzed claim data to identify trends in customer service or claims processing.
- Analyzed medical records, laboratory reports, and other documents related to claims processing.
- Performed periodic audits of claims processing activities to ensure compliance with company standards.
- Investigated discrepancies related to claims processing or payments made under employee benefit plans.
Education
Some College (No Degree) - Health Information Management
Skills
- Claims processing and regulatory compliance
- Data analysis and problem resolution
- Customer service and audit procedures
- Problem resolution
- Attention to detail
- Data entry accuracy
- Effective communication
- Complaint investigation
References
References available upon request.
Timeline
Account Services Specialist - Humana Health Plans
01.2003 - 05.2022
University of Phoenix - Some College (No Degree), Health Information Management
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