
Adaptable and analytical with keen eye for detail and positive attitude. Well-versed in insurance policies and regulations, demonstrating proficiency in data analysis and reporting. Committed to ensuring accurate claim assessments and improving operational efficiency.
• Verify patient accounts, eligibility benefits, and authorizations. Responsible for accurate and timely adjudication of claims for IHS, Medi-Cal, and Medicare. Update status of claims, provide an explanation of denied claims and work closely with other claim examiners. Knowledge of Modifiers, and provider contracts