Dynamic Medical Claims Analyst with extensive experience at Aetna, excelling in claims processing and training colleagues. Proven ability to enhance team performance through effective mentoring and problem-solving. Proficient in EWM/ECHS, Medcompass, HRP demonstrating strong attention to detail and adaptability in fast-paced environments.
DRG Screening
SA Creations
EWM/ECHS records prep
SA resolves
Question/Urgent Mailbox
Trained colleagues on SA Creations and SA Resolves
Reviewed new Screener's template
Trained colleagues on the EMR/EPP claims process from start to finish
Reviewed claim contracts and reprocessed accordingly where I was also introduced to the RDT tool and DRG.
Assisted members with health benefits and claims.
Training and mentoring
Knowledgeable in EWM, ECHS, Medcompass, HRP
Teamwork and collaboration
Problem-solving
Attention to detail
Multitasking
Time management
Organizing and prioritizing work