Jenae Maddies
North Las Vegas,NV
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle designated volume of claims. Highly accurate and thorough with focus on completing work in line with processing guidelines. Proven track record of outstanding performance and contributing to increase patient and customer satisfaction. Guaranteed asset to any organization!
Overview
10
10
years of professional experience
Work History
Process Executive
Cognizant
09.2022 - Current
- Efficiently process predefined number of transactions as assigned with highest level of accuracy as agreed upon by the client, adhere to audit compliance, of all Healthcare processes as laid out by Cognizant / the client of Cognizant. Meet productivity/ quality benchmark, reviewing claim submissions and verifying the information.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Collaborated closely with other departments for achieving operational excellence and deadlines across the organization.
Claim Processor
Reqroute
10.2021 - 09.2022
- Processed Medicaid and Medicare claims, experience with facets, review and verify patient account against insurance programs, data entry, medical records, Citrix, DataNet, Excel/SharePoint.
- Reviewing claim submissions and verifying the information, Determining policy coverage and calculating claim amounts
- Utilized specialized software to process incoming claims, enter data and generate reports.
Medical Biller
Apex Medical Center
10.2019 - 03.2020
- Submitted to secondary insurances, verified insurance, A&R, CMS 1500 form claims, processed payments, ability to communicate and resolve issues with insurances representatives, familiarity with ICD-10 and CPT coding, attention to detail.
Lead front office Medical Assistant
Blue Point Medical Group
11.2015 - 01.2016
- Oversee co workings duties, EHR (Eclinical works), entering patient demographics, multiple phone lines, multitasking, triage patients, injections, scheduling patients for procedures, opening office, closing daily, urine drug screen, sterilization.
Front and back Medical assistant
Sparks Family Medicine
07.2015 - 11.2015
- Greeted patient, processing payments, clerical duties, imputing patient information, Triage patients, injections, venipunctures, sterilization, EKG, opening and closing of office, prep for procedures.
Jateko Family Medical Group
05.2014 - 07.2015
- Greeting patients, check in & out patients, collect & verify co pay, deductibles, and co Insurance, faxing, scanning, multiple phone lines, capture patient's demographics, patient scheduling, EHR, HIPAA, excellent customer service skills, multi-task, data entry's, attention to details, able to work as a team or independently, ordering supplies
Southwest Physicians Medical Group
01.2014 - 05.2014
- Check in & out patients, greeting patients, triage patients, input information, EHR, injections, performing ekgs, glucose testing, venipuncture, sterilization, answering multiple phone lines, breathing treatments, inputting patient information
Education
Medical Billing and Coding Diploma -
Carrington College
10.2019
Medical Assistant Diploma -
Everest College
03.2014
Dental Assistant Diploma -
Anthem Institute
09.2011
Skills
- HIPAA Certified
- Medical claims coding & processing
- Workflow Analysis
- Compliance Management
- Data entry proficiency
- Claims Processing Software
- Insurance Regulations Understanding
- Leadership skills
- Time Management skills
- Excellent customer service skills
- Administration & Communication Skills
- Quick Learner with attention to detail
Administration
- Verifying Insurance
- Detailed orientated
- Clerical skills
- Multiple screens
- Processing payments
- Prior work from home experience
- Microsoft office proficient
Timeline
Process Executive
Cognizant
09.2022 - Current
Claim Processor
Reqroute
10.2021 - 09.2022
Medical Biller
Apex Medical Center
10.2019 - 03.2020
Lead front office Medical Assistant
Blue Point Medical Group
11.2015 - 01.2016
Front and back Medical assistant
Sparks Family Medicine
07.2015 - 11.2015
Jateko Family Medical Group
05.2014 - 07.2015
Southwest Physicians Medical Group
01.2014 - 05.2014
Medical Billing and Coding Diploma -
Carrington College
Medical Assistant Diploma -
Everest College
Dental Assistant Diploma -
Anthem Institute