Jennifer Arvola
Virginia,MN
Summary
Experienced Senior Claims Processor at Blue Cross Blue Shield, adept in claims processing expertise and fostering teamwork. Demonstrated success in enhancing junior processor skills and achieving high patient satisfaction at VRMC/Essentia through critical thinking and effective problem-solving. Proven track record in improving efficiency and maintaining HIPAA compliance.
Overview
17
17
years of professional experience
Work History
Senior Claims Processor
Blue Cross Blue Shield
04.2016 - Current
- Process first pass, adjustments, carryovers, R5021, 895's, benefit and fatal error report, and high dollar claims.
- Worked with tech on various claim issues and tech time with peers.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Mentored junior processors, enhancing their knowledge and skills for improved job performance.
- Collaboratively resolved escalated issues by working closely with customer service representatives and adjusters.
Daycare Provider
Self
07.2014 - 04.2016
- Communicated effectively with parents about their child''s progress, behavior, and milestones achieved during daycare hours.
- Sanitized dishes, tabletops, toys, and frequently touched surfaces to prevent spreading of germs.
- Managed daily routines, including meal preparation and nap times, promoting a structured and consistent schedule for children.
- Maintained a safe and nurturing environment for children, ensuring their physical and emotional wellbeing.
- Provided individualized attention to each child, recognizing their unique needs and adapting care accordingly.
- Maintained safe play environment by emphasizing and maintaining cleanliness and organization.
Patient Services
VRMC/Essentia
05.2007 - 06.2014
- Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
- Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
- Adapted quickly to changing policies or procedural updates within the clinic, maintaining consistent levels of efficiency and accuracy in daily tasks.
- Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
Education
Associate of Arts - Human Services
Mesabi Community And Technical College
Virginia, MN05.2010
High School Diploma -
John F Kennedy High School
Babbitt, MN05.1999
Skills
- Critical thinking abilities
- Training and mentoring
- Claims Processing Expertise
- Claims review
- Time Management
- Problem-solving abilities
- Claims adjustment
- Teamwork and Collaboration
Timeline
Senior Claims Processor
Blue Cross Blue Shield
04.2016 - Current
Daycare Provider
Self
07.2014 - 04.2016
Patient Services
VRMC/Essentia
05.2007 - 06.2014
Associate of Arts - Human Services
Mesabi Community And Technical College
High School Diploma -
John F Kennedy High School