Jennifer L. Knauss
Spokane Valley,WA
Summary
Dynamic professional with a proven track record at Premera, specializing in critical thinking and policy interpretation. Recognized for surpassing performance metrics through exceptional organizational skills and meticulous attention to detail. Proficient in Microsoft Office and effective in team collaboration, consistently delivering high-quality results. Achieved significant improvements in claims processing efficiency, enhancing overall operational effectiveness.
Overview
11
11
years of professional experience
Work History
Claims Associate II/ Customer Service Representative II
Premera
01.2020 - Current
- Investigate and provide accurate benefit information for medical, dental, and vision.
- Contact providers on members' behalf to verify claims status and contract status.
- Adhere to PPI standards.
- Review, analyze, and resolve claims through the utilization of procedures.
- Meet cycle time, productivity goals, and objectives that are aligned with corporate objectives.
- Maintain the confidentiality of all documents and files.
- Prepare claims for return to the provider or subscriber when additional information is needed.
Medical Biller
Healthcare Resource Group
03.2019 - 10.2019
- Proficiency with data entry and multi-tasking
- Knowledge in multiple computer systems including MS Office and Excel
- Ability to work independently and collaboratively within a team environment
- Work claims and claim denials to ensure maximum reimbursement for services provided
Audit Analyst
Lincare
10.2017 - 03.2019
- Maintain knowledge of all Medicare guidelines and polices
- Work effectively with all levels of the organization, including hospital and physicians
- Evaluate audits to ensure proper documentation is received and accurate prior to submission
- Complete different levels of required audit functions in timely manner
- Complete special projects as assigned
Customer Service Representative
Faneuil
12.2013 - 10.2017
- Meet and exceed CSR performance requirements
- Adhere to HIPAA laws and maintain Personal Protected Information, PPI
- Assist customers with ACA compliant regulations
- Worked special projects including CEV, Certification Evaluation Verification of Documents, and Broker/Navigator Assistance teams
- Mentor new employees
- Enroll, trouble shoot, and problem solve for customer health insurance accounts
Education
Associates of Arts and Science -
Spokane Community College
Spokane, WA06-1994
CPB Certified Professional Biller Course - Medical Coding
Allied Bussiness
Laguna Hills, CABA - Health Care Administration, Human Resources Management
Asford University
Clinton, IASkills
- Strong writing and communication skills
- Proven ability to think critically
- Excellent organizational skills, and attention to detail
- Flexibility and willingness to take on new challenges
- Policy interpretation
- Proficient in Microsoft Word, Excel, and Outlook
- Documentation research
- Conflict resolution
- Time management
- Decision-making
- Team collaboration
- Microsoft office
References
References available upon request.
Timeline
Claims Associate II/ Customer Service Representative II
Premera
01.2020 - Current
Medical Biller
Healthcare Resource Group
03.2019 - 10.2019
Audit Analyst
Lincare
10.2017 - 03.2019
Customer Service Representative
Faneuil
12.2013 - 10.2017
Associates of Arts and Science -
Spokane Community College
CPB Certified Professional Biller Course - Medical Coding
Allied Bussiness
BA - Health Care Administration, Human Resources Management
Asford University
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