With over a decade of expertise at Elevance/Anthem, adept in claims processing and fostering robust relationships, I've excelled in adjusting medical and dental claims across multiple states and countries. My proficiency in insurance assessment and customer communication has significantly enhanced billing accuracy and expedited payments, showcasing a unique blend of technical skill and interpersonal acumen.
Diligent [Desired Position] with strong background in evaluating and processing claims effectively. Successfully resolved numerous complex cases by applying deep knowledge of policy provisions and regulatory requirements. Demonstrated proficiency in negotiation and customer service, ensuring fair outcomes and client satisfaction.
process and adjust medical and dental claims for members from Georgia, California, Colorado, Nevada, Virginia, New York to include foreign Countries as well. Refer received medical records for review by higher authorities Nurses/Doctors. 10 years of specialized experience which includes performing medical billing activities such as collecting claims for medical care entering and retrieving data in an automated system at a qualifying typist level 50 words per minute on a 5 minute sample with 3 or fewer errors.
Maintained a high level of professionalism when interacting with patients, insurance company representatives, and colleagues to foster positive working relationships.