Elizabeth Lucas
Pahrump,NV
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with an organized and disciplined approach. Offering three years of insurance experience.
Overview
8
8
years of professional experience
1
1
Certificate
Work History
Claims Representative
Sutherland Healthcare Solutions
Las Vegas, NV
03.2018 - Current
- Interviewed policyholders to verify information and obtain additional details.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
Medical Claims Representative
Blue Horizon/Blue Shield
Syracuse, NY
03.2017 - 05.2017
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Managed large volume of medical claims on daily basis.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Teller
JP Morgan & Chase
Syracuse, NY
03.2015 - 02.2016
- Performed customer transactions for money orders, cashiers checks, deposits and withdrawals.
- Educated customers on use of banking website and mobile apps.
Sales Associate
Garage Clothing Store
Syracuse, NY
10.2014 - 05.2015
- Delivered high level of assistance by locating products and checking store system for merchandise at other sites.
- Completed orders through proprietor system and organized product deliveries to meet customer timetables.
Sales Associate
RadioShack
San Diego, CA
10.2011 - 04.2013
- Engaged with customers to effectively build rapport and lasting relationships.
- Delivered high level of assistance by locating products and checking store system for merchandise at other sites.
- Boosted sales by conferring with customers to evaluate cellular services requirements and recommend best-fit company offerings.
- Managed and maintained two different locations lacking official management role fulfillment for period of three months during company transition.
Education
Certificate of Completion - Medical Billing & Coding
Great Basin College
Elko, NV05.2020
Associate of Arts - Journalism & Communications
Southwestern College
Chula Vista, CA12.2011
High School Diploma -
South Bay Christian Academy
Chula Vista, CA05.2009
Skills
- Diagnostic & Procedural Terminology
- Medical Terminology
- Pathophysiology Terminology
- Anatomy & Biology Terminology
- ICD-10-CM Coding Guidelines & Practice
- ICD-10-PCS Coding Guidelines & Practice
- CPT Coding Guidelines & Practice
- HCPCS Coding Guidelines & Practice
- HIPAA Compliance
- Quality Standards and Regulations
- 3M Encoder
- Customer Service
- DRG assignment
Accomplishments
- Supervised team of 20 staff members.
- Resolved product issue through consumer testing.
Certification
- CPC - Certified Professional Coder
- Practicode Internship Training - 2021
Timeline
Claims Representative
Sutherland Healthcare Solutions
03.2018 - Current
Medical Claims Representative
Blue Horizon/Blue Shield
03.2017 - 05.2017
Teller
JP Morgan & Chase
03.2015 - 02.2016
Sales Associate
Garage Clothing Store
10.2014 - 05.2015
Sales Associate
RadioShack
10.2011 - 04.2013
Certificate of Completion - Medical Billing & Coding
Great Basin College
Associate of Arts - Journalism & Communications
Southwestern College
High School Diploma -
South Bay Christian Academy
- CPC - Certified Professional Coder
- Practicode Internship Training - 2021
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