Erin Hayden
Killeen,KY
Summary
Dynamic and highly motivated professional with experience as a Claims Adjuster at AmeriHealth Caritas. Expert in claims investigation and processing, demonstrating critical thinking and active listening skills. Proven track record of ensuring compliance and enhancing service delivery, while effectively collaborating with medical professionals to resolve complex claims.
Overview
8
8
years of professional experience
Work History
Claims Adjuster
AmeriHealth Caritas
03.2025 - Current
- Evaluated claims to determine coverage and eligibility based on policy provisions.
- Reviewed documentation and evidence to support claims decisions, ensuring accuracy and compliance.
- Collaborated with medical professionals to obtain necessary information for claim assessments.
- Communicated with claimants regarding status updates, clarifications, and required documentation.
Medical Intake Coordinator
CVS Pharmacy
11.2023 - 01.2025
- Managed patient intake processes, ensuring accurate data collection and documentation.
- Assisted patients with insurance verification, improving overall service delivery.
- Monitored compliance with HIPAA regulations in patient interactions and documentation practices.
- Supported healthcare providers in delivering optimal patient care by promptly addressing concerns or questions related to patient intake processes.
Sales Associate
Teleperformance
03.2017 - 08.2018
- Engaged customers by providing product information and addressing inquiries efficiently.
- Built relationships with customers to encourage repeat business.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Solved customer challenges by offering relevant products and services.
Education
Trade School - Medical Coding And Billing
Temple College
Temple, TX02-2018
Skills
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Claims processing
Timeline
Claims Adjuster
AmeriHealth Caritas
03.2025 - Current
Medical Intake Coordinator
CVS Pharmacy
11.2023 - 01.2025
Sales Associate
Teleperformance
03.2017 - 08.2018
Trade School - Medical Coding And Billing
Temple College
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