Summary
Overview
Work History
Education
Skills
Timeline
Generic

Adriana Boswell

Montgomery,AL

Summary

Adept Medical Claims Specialist with a proven track record at Molina Healthcare, where meticulous attention to detail led to a significant reduction in claims errors. Expert in Medicare, ICD-10, and insurance verification, I excel in streamlining processes for efficiency. My strong communication skills ensure patient satisfaction and optimal service delivery.

Overview

4
4
years of professional experience

Work History

Medical Claims Specialist

Molina Healthcare
Remote
06.2022 - 01.2025
  • Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
  • Improved claim processing efficiency by streamlining workflows and implementing best practices.
  • Submitted electronic/paper claims documentation for timely filing.
  • Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.

Patient Care Assistant

Navitus
05.2021 - 06.2022
  • Responded to patient queries and concerns concerning insurance coverages and deductibles.
  • Screened patients for financial assistance and aided in preparing required funding documents.
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.

Education

High School Diploma -

Carver High School
Montgomery, AL
05.2021

Skills

  • Medicare expertise
  • ICD-10 proficiency
  • Claims processing
  • Insurance verification

Timeline

Medical Claims Specialist

Molina Healthcare
06.2022 - 01.2025

Patient Care Assistant

Navitus
05.2021 - 06.2022

High School Diploma -

Carver High School
Adriana Boswell