Elizabeth Furner

• Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
• Researched and resolved complex medical claims issues to support timely processing.
• Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
• Verified patient insurance coverage and benefits for medical claims.
• Monitored and updated claims status in claims processing system.
• Managed large volume of medical claims on daily basis.
• Paid or denied medical claims based upon established claims processing criteria.
• Evaluated medical claims for accuracy and completeness and researched missing data.

• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
• Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
• Ensured accurate record-keeping with diligent data entry and database management for vital company information.

Provide excellent customer service by exceeding customer expectations when handling escalated research requests.

Provide excellent customer service by exceeding customer expectations when handling escalated research requests.

• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.
• Managed time efficiently in order to complete all tasks within deadlines.
• Used critical thinking to break down problems, evaluate solutions and make decisions
• Minimized risk to the bank by reviewing accounts following government guidelines.