Jeffrey McNeely
Spokane,WA
Summary
I am a Medical Claims adjuster with over 10 years' experience in handling multiple responsibilities in fast-paced environment adjusting claims. I have a very strong attention to details and am highly collaborative.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Claims Adjuster
Kaiser Permanente
Spokane, WA
08.2013 - Current
- Analyzed medical claims for accuracy, completeness, and compliance with company policies and procedures.
- Resolved complex claim issues through research, negotiation, and collaboration with other departments.
- Identified trends in claim rejections or denials and provided feedback to management team.
- Evaluated potential fraud cases involving healthcare providers or patients as necessary.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Education
High School Diploma -
Loma Prieta High School
Santa Cruz, CA06-1991
Some College (No Degree) - Electrical Engineering
Spokane Community College
Spokane, WASkills
- Strong Analytical Skills
- Effective Communication Abilities
- Medical Terminology
- Knowledgeable in Microsoft Excel, Word, Access Epic
Certification
- Currently enrolled with AAPC earning my CPC-A certificate.
Timeline
Medical Claims Adjuster
Kaiser Permanente
08.2013 - Current
High School Diploma -
Loma Prieta High School
Some College (No Degree) - Electrical Engineering
Spokane Community College