Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

Ginger Friedel

Pewaukee,WI

Summary

Experienced in medical claims processing with focus on accuracy and efficiency. Background includes thorough review, validation, adjudication and processing of insurance claims within healthcare sector. Known for strong understanding of ICD-10 codes, HCPCS codes, as well as Medicare and Medicaid regulations. Demonstrated ability to reduce backlogs while maintaining high standards of quality control have driven operational success in previous roles. Experienced in medical claims processing with focus on accuracy and efficiency. Background includes thorough review, validation, adjudication and processing of insurance claims within healthcare sector. Known for strong understanding of ICD-10 codes, HCPCS codes, as well as Medicare and Medicaid regulations. Demonstrated ability to reduce backlogs while maintaining high standards of quality control have driven operational success in previous roles. Skilled in handling complex insurance claims and policy processing with experience in navigating through various insurance software systems. Demonstrates strong analytical skills, adept at interpreting policies and efficiently resolving claims to the satisfaction of all parties involved. Known for maintaining high accuracy levels in document processing and data entry, contributing to streamlined operations and improved customer service outcomes. Continuously seeks ways to optimize workflows and enhance team productivity, leading to more efficient claim resolution processes. Adaptable professional with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.

Overview

26
26
years of professional experience

Work History

Medical Claims Processor

Carday Associates
Pewaukee, WI
06.1999 - 12.2024
  • Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
  • Used contract notes and processing manual to correctly apply group-specific classifications to claims.
  • Completed day-to-day duties accurately and efficiently.
  • Processed a high volume of claims on a daily basis using established time frames.

Education

High School Diploma -

Wauwatosa West High School
Wauwatosa, WI
06-1993

Skills

  • Medical terminology
  • Claims processing proficiency
  • ICD-10-cM coding
  • Telephone etiquette
  • Insurance claims
  • Data security procedures
  • Electronic claims processing
  • Professionalism and ethics
  • HIPAA
  • HIPAA compliance awareness
  • Customer service
  • ICD codes
  • Claim validity determination
  • Continuous learning mindset

Affiliations

I enjoy reading and spending time with family

Timeline

Medical Claims Processor

Carday Associates
06.1999 - 12.2024

High School Diploma -

Wauwatosa West High School
Ginger Friedel