Jennifer Siegel
Herculaneum,MO
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
33
33
years of professional experience
Work History
Claims Associate III
Anthem
St. Louis, MO
09.1998 - Current
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Paid or denied medical claims based upon established claims processing criteria.
- Managed large volume of medical claims on daily basis.
- Daily handling of Utilization Management suspends
- Auditing of PPO, HMO and Workers Compensation claims
Claims and Customer Service Representative
Kirke Van-Orsdel, Inc
St. Louis, MO
08.1989 - 09.1998
- Reviewed and adjusted customer coverage levels to address, identify and resolve customer conflicts.
- Acquired a thorough understanding of medical terminology, ICD-0 codes and CPT codes
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Handled adjustments of claims and refunds
Education
Business
St. Louis Community College-Florissant Valley
St. Louis, MOSkills
- Understanding of medical terms
- Proficient in Microsoft Word and Excel
- Customer Relations
- Documentation review
- Documentation abilities
Timeline
Claims Associate III
Anthem
09.1998 - Current
Claims and Customer Service Representative
Kirke Van-Orsdel, Inc
08.1989 - 09.1998
Business
St. Louis Community College-Florissant Valley
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