Helen Dunn
Post Falls,ID
Summary
Proven track record in enhancing claims processing efficiency and maintaining data integrity, demonstrated during tenure at Firstsource Solutions USA. Skilled in Claims and Verbal Communication, adept at reducing processing times and ensuring accuracy. Achieved significant improvements by leveraging expertise in healthcare coding and insurance policy knowledge, alongside a commitment to reliability and effective multitasking.
Overview
14
14
years of professional experience
Work History
Claims Examiner
Firstsource Solutions USA
04.2022 - Current
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Coordinates benefits for Medicaid in state of Texas and Arizona.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Finalized files for insurance claim payment release.
- Work Cotivity and ClaimsXten edits.
Senior Benefits Consultant
GoHealth LLC
03.2021 - 04.2022
- Conducted thorough needs assessments for each client, identifying suitable plan options based on individual requirements and financial capabilities.
- Generated new leads through targeted marketing initiatives and strategic partnerships within the community.
- Boosted company reputation through consistent delivery of reliable, trustworthy advice to clients navigating the Medicare insurance market.
- Stayed current on industry trends and changes in regulations, enabling informed recommendations to clients seeking optimal coverage solutions.
Configuration Specialist II
Kaiser Permanente Washington
04.2011 - 03.2021
- Primary role is to ensure the data integrity of provider records maintained in the organization's information systems is accurate.
- Works with internal departments including (hospital $1million plus) contract amendments and renewal language.
- Expertise interpretation of contract language and configuration of financial terms utilizing conversion factors, RBRVS, gap fillers, Manual Agreements, DRGs and other payment methodology maintenance.
Education
High School Diploma -
San Diego Mesa College
San DiegoSkills
- Claims Processing
- Verbal Communication
- Data Verification
- Disability claims process
- Microsoft Office Suite
- Computer Skills
- Claims
- Healthcare Common Procedures Coding System (HCPCS)
- Insurance policy coverage knowledge
- Benefits review
- Claim Form Analysis
- Multitasking
- Reliability
Timeline
Claims Examiner
Firstsource Solutions USA
04.2022 - Current
Senior Benefits Consultant
GoHealth LLC
03.2021 - 04.2022
Configuration Specialist II
Kaiser Permanente Washington
04.2011 - 03.2021
High School Diploma -
San Diego Mesa College
Similar Profiles
Jennifer ArciniegasJennifer Arciniegas
Patient Service Representative at FirstSource Solutions USAPatient Service Representative at FirstSource Solutions USA
Christina PollardChristina Pollard
Revenue Cycle Billing Specialist at Firstsource SolutionsRevenue Cycle Billing Specialist at Firstsource Solutions
KASANDRA PEREZKASANDRA PEREZ
Patient Advocate at Firstsource SolutionsPatient Advocate at Firstsource Solutions