Heather Chaney
Tyler
Summary
Experienced administrative and professional background with proven track record of success.
Overview
10
10
years of professional experience
Work History
Operations Specialist
Contigo Health
01.2024 - Current
- Analyze, research, and respond to complains, appeals and grievances from members and providers
- Ensure compliances and consistency of all letters
- Overpayments and refunds of claims
- Subrogation investigation and lien reports
Administrative Assistant
Contigo Health
08.2019 - 01.2024
- Screen and log incoming appeals and network exceptions
- Identify trends in appeals and advise management so can verify if related to quality issue
- Coordination of Benefits and Subrogation audit of claims
- Process patient no match claims
- Create Visio documents and Excel spreadsheets
- Assist the Operations department with any clerical needs
Customer Service Representative
University Hospitals
06.2017 - 08.2019
- Assisted members and providers as well as insurance companies with a variety of questions, issues or concerns
- Identify quality issues and advise department management for improvement
- Part of hand picked Excellent Based Teams for particular clients.
Medical Coder
LifeForce Management Inc.
05.2015 - 06.2017
- Data entry of patients' demographics and insurance information
- Correctly coded and billed ambulance trips
- Entered payments for ambulance trips
Education
Human Movement -
Kent State University
Kent, OH05.2006
Skills
- Proficient in Microsoft Office
- Adept Multi-tasker
- Team player
- Excellent Communication skills
- Detail oriented
Timeline
Operations Specialist
Contigo Health
01.2024 - Current
Administrative Assistant
Contigo Health
08.2019 - 01.2024
Customer Service Representative
University Hospitals
06.2017 - 08.2019
Medical Coder
LifeForce Management Inc.
05.2015 - 06.2017
Human Movement -
Kent State University