Jamee Fillpot
Hume,MO
Summary
Effective Medical Claims Processor with strong background building rapport with peers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
4
4
years of professional experience
Work History
Claims Examiner
Cobalt Medplans
01.2023 - Current
- Paid or denied medical claims based upon established claims processing criteria.
- Verified patient insurance coverage and benefits for medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Managed large volume of medical claims on daily basis.
Customer Service Representative
Cobalt Medplans
11.2019 - 01.2023
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Identified, analyzed and researched systemic issues and made recommendations for resolution.
- Verified insurance eligibility and coverage for patients.
- Investigated insurance claims denials and appeals.
Education
High School Diploma -
Hume High School
Hume, MOFort Scott Community College
Fort Scott, KSSkills
- Microsoft Office
- Critical Thinking
- Calm and Professional Under Pressure
- Claim Adjustments and Refunds
- Communication
- Organization
Timeline
Claims Examiner
Cobalt Medplans
01.2023 - Current
Customer Service Representative
Cobalt Medplans
11.2019 - 01.2023
High School Diploma -
Hume High School
Fort Scott Community College
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