Deidre Anthenelli
Perth Amboy
Summary
Detail-oriented Claims Analyst with expertise in claims analysis, policy interpretation, and critical thinking. Proven ability to collaborate on complex claims issues and ensure compliance with regulations.
Overview
11
11
years of professional experience
Work History
Claims Analyst
RTR Financial Services
12.2022 - 10.2025
- Analyzed and processed Hospital insurance claims to ensure compliance with company policies and regulations.
- Collaborated with cross-functional teams to resolve complex claims issues effectively.
- Reviewed documentation for accuracy, ensuring timely claim approvals or denials.
- Utilized claims management software to track and manage the lifecycle of claims efficiently.
- Maintained up-to-date knowledge of industry regulations impacting claims processing procedures.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Medical Biller and Coder
Middlebrook Family Physicians
01.2017 - 12.2022
- Processed insurance claims accurately and efficiently to ensure timely reimbursement.
- Reviewed patient records for coding accuracy and compliance with regulations.
- Utilized electronic health record (EHR) systems for data entry and billing tasks.
- Collaborated with healthcare providers to resolve billing discrepancies and patient inquiries.
- Maintained up-to-date knowledge of coding guidelines and insurance policies.
- Correctly coded and billed medical claims for hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Assisted with all front desk duties when needed
Reconciliation Specialist
Saint Peters University Hospital
11.2014 - 01.2017
- Reconciled discrepancies in financial records to ensure accuracy and compliance with hospital policies.
- Analyzed complex data sets to identify trends and improve reconciliation processes.
- Reviewed financial reports for accuracy, ensuring timely reporting to management.
- Ensured timely completion of reconciliations by adhering to strict deadlines and prioritizing tasks effectively.
- Worked A/R reports for 7 surgeons
- Daily posting of all EFT's and live checks in addition to keeping track of daily cash sheet.
- Responsible for month end close and all related reports
Education
High School Diploma -
Piscataway Vocational High School
Piscataway, NJSkills
- Claims analysis
- Interpersonal and written communication
- Proficient in Epic Systems
- Experience with Craneware software solutions
- Proficiency in Microsoft Office/Excel spreadsheets
- Attention to Detail
- Critical thinking
- Data visualization
Timeline
Claims Analyst
RTR Financial Services
12.2022 - 10.2025
Medical Biller and Coder
Middlebrook Family Physicians
01.2017 - 12.2022
Reconciliation Specialist
Saint Peters University Hospital
11.2014 - 01.2017
High School Diploma -
Piscataway Vocational High School