Jeanne Meeks
Blue Cross Blue Shield of Illinois
Springfield,IL
23
years of professional experience
Results-driven Healthcare Professional experienced in medical record review and claims appeal processing. Achieved effective healthcare reimbursement through expertise in ICD-10 and strict adherence to HIPAA regulations. Focused on resolving complex medical claims while delivering exceptional customer service.
Work History
Independent Resolution Specialist
14 Years 4 Months- Consistently met or exceeded performance metrics, demonstrating a strong understanding of the claims review process and an unwavering commitment to achieving positive results for clients.
- Resolved complex medical claim inquiries, ensuring timely and accurate responses.
- Conducted thorough case reviews to ensure adherence to regulatory requirements and compliance with internal policies.
- Established best practices for documentation and case tracking, improving efficiency within the appeals department.
- Acquired in-depth knowledge of ICD-10-CM, CPT, and HCPCS codes to enhance accuracy in medical claims processing.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
Customer Service Manager
5 Years 6 Months- Led call center operations, ensuring adherence to performance metrics and service standards.
- Boosted first-call resolution rates by equipping agents with comprehensive product knowledge and troubleshooting skills through ongoing training workshops.
- Provided real-time coaching, guidance and feedback to customer service agents to achieve development goals.
- Fostered a positive work environment, mentoring staff to achieve professional growth and development.
- Reduced average handling time with the development of comprehensive agent scripts and troubleshooting guides.
Education
High School Diploma
Skills
ICD-10 proficiency and HIPAA compliance
Insurance coding
Medical record review and Claims Processing
Dispute Resolution and Healthcare reimbursement
CMS guidelines and Compliance awareness
Medical software specialist
Computer proficiency and Microsoft office
12 years Remote work experience
Coaching and mentoring with Customer Service Focus
Timeline
Independent Resolution Specialist
Blue Cross Blue Shield of Illinois
03.2012 - CurrentRead More
Customer Service Manager
AT&T Mobility
09.2003 - 03.2009Read More
Bismarck-Henning Highschool
High School Diploma
Read More