Eric Althouse
Laguna Woods,CA
Summary
Accomplished Senior Claims Analyst and Accounting Clerk at Optum, UnitedHealth Group, with a proven track record in medical claims processing and leadership. Excelled in auditing claims for accuracy, enhancing examiner training programs, and managing special projects. Skilled in Microsoft Excel and fostering customer relationships, demonstrating dependability and a commitment to excellence.
My current objective is to work late afternoon/night full or part time work in the Laguna Hills area in a position that is people/customer service orientated. I'm a quick learner and willing to go the extra mile to make the company very successful,
Overview
17
17
years of professional experience
Work History
Senior Accounting Clerk
Optum, UnitedHealth Group
02.2013 - 08.2015
- Researched refund and returned checks received from Providers and Members.
- Credited the accepted checks and had them deposited into the appropriate bank accounts.
- Correspond with the Provider and Members via phone or letter to resolve questionable checks that didn't match their records.
- Daily and monthly logs were kept documenting all actions taken.
Senior Claims Analyst
Optum, UnitedHealth Group
11.1998 - 02.2013
- Audited a certain percentage of Claims Examiners processed claims to determine accuracy.
- Met with Examiners to review any errors and gave them the ability to appeal.
- Trained new Examiners when new classes started.
- Prepared external audit files and met with outside Auditors to review any error found, and appealed when necessary.
- Wrote policies and procedures.
- Handled special projects given by Management.
Education
Associate of Science - Business Administration And Management
J Sargeant Reynolds Community College
Richmond, VA06.1977
High School Diploma -
John Marshall High School
Richmond, VA06.1973
Skills
- Medical Claims Processing
- Medical Terminology
- Insurance forms
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Customer Service
- Training Examiners
- Leadership
- Dependability
Timeline
Senior Accounting Clerk
Optum, UnitedHealth Group
02.2013 - 08.2015
Senior Claims Analyst
Optum, UnitedHealth Group
11.1998 - 02.2013
Associate of Science - Business Administration And Management
J Sargeant Reynolds Community College
High School Diploma -
John Marshall High School
Similar Profiles
Lisa PorterfieldLisa Porterfield
Executive Assistant at Optum, UnitedHealth GroupExecutive Assistant at Optum, UnitedHealth Group
AMBRISH NANJAPPAAMBRISH NANJAPPA
Senior Medical Coder at Optum, UnitedHealth GroupSenior Medical Coder at Optum, UnitedHealth Group
Aishika DavisAishika Davis
Business Analyst at Optum, UnitedHealth GroupBusiness Analyst at Optum, UnitedHealth Group
Paula SwantonPaula Swanton
Regulatory Compliance Consultant/Manager/Contracts Manager at Optum, UnitedHealth GroupRegulatory Compliance Consultant/Manager/Contracts Manager at Optum, UnitedHealth Group
Jeff SmithJeff Smith
Director of Service Delivery - Service Delivery Management at Effortless Office - MSPDirector of Service Delivery - Service Delivery Management at Effortless Office - MSP