Esther Sellman

• Reviewed claims documentation for completeness, accuracy, and policy compliance
• Processed incoming medical claims through claims adjudication systems and workflow queues to ensure timely claim handling.
• Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
• Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.

SIU stands for Status Inquiry Unit. It is a department that handles rebillings and corrected billing. If providers had additional charges to bill, we would take back the first payment and process corrected claim.

Or if the provider had any question about billing or claims they would contact this department.

When working in claim processing, we worked out of queues and processed all original billings.

I also did the claims for BCN employees.

Reviewed pharmacy claim records and executed refunds through a separate claims system.

Started as part time switchboard operator, cashier and admitting on the weekends

Then full time in patient accounts. Which involved reviewing and answering questions for patients about their bills.

Placed delinquent accounts in collections.

Billing all insurance companies except Medicare, Medicaid, and BCBS.

Started as part time switchboard operator, cashier and admitting on the weekends

Then full time in patient accounts. Which involved reviewing and answering questions for patients about their bills.

Placed delinquent accounts in collections.

Billing all insurance companies except Medicare, Medicaid, and BCBS.

Graduated in National Honor Society with a 3.425 average.

On the job training classes. Initially several months. Then more when ever new procedures were introduced.