JENNIFER CLARK
Claims Adjudicator
Tucson,AZ
Summary
Data Entry Specialist/Claims Processing with over 10 years' experience in 10 key, advanced keyboarding and Microsoft Office Suite. Currently seeking a temporary position in San Diego at a reputable company.
Overview
25
25
years of professional experience
Work History
Dental Claims Intake Processor I
Skygen Usa
Menomonee Falls, WI
10.2022 - 08.2023
- Applied effective time management techniques to meet tight deadlines.
- Organized and detail-oriented with a strong work ethic.
- Excellent communication skills, both verbal and written.
- Paid attention to detail while completing assignments.
- Demonstrated a high level of initiative and creativity while tackling difficult tasks.
Claims Resolution Coordinator
UC San Diego Health
San Diego, California
2019.07 - 2022.02
- Proven ability to develop and implement creative solutions to complex problems.
- Gained extensive knowledge in data entry, analysis and reporting.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Developed strong communication and organizational skills through working on group projects.
Healthcare Data Entry Specialist/Billing
UC SAN DIEGO HEALTH
San Diego, CA
01.2017 - 12.2017
- For billing purposes, enter CPT codes, ICD10, modifiers, DX codes into Epic.
- Daily workload: pulled batches sent from the abstractors; balance batch hash-totals for accuracy into Epic.
Data Quality Specialist/Data Management
SHARP HEALTH PLAN
San Diego, CA
08.2016 - 10.2016
- Using IDX & Salesforce applications, work edits and data quality issues through various tools.
- Update members, terming, reinstatements, updating demographics using IDX with dual screens.
Claims/Billing/Data Entry Examiner I
AMERICAN SPECIALTY HEALTH
San Diego, CA
11.2013 - 10.2015
- Using IHIS, type from handwritten/faxed claim forms to create a MNR (Medical Necessity Review) form.
- For provider billing, enter correct provider & correct patient MRN # and Health Plan.
Data Validation Specialist/Billing
VERICARE BEHAVIORAL HEALTH
San Diego, CA
04.2012 - 10.2012
- Database updates.
- Updating member demographics from paperwork from Clinicians.
- Trained on scanning all paperwork into system.; enter charges on billed items.
Account Adm. Representative
KAISER PERMANENTE HEALTH CA Service Center
San Diego, CA
03.2011 - 04.2011
- Account Activity, i.e.
- address changes, cancellations, credit card transactions for payment, pulled work from the Queue.
- Updated all information received into the members' record.
Medical Claims Processor/Data Entry Clerk
UNITED HEALTHCARE
San Diego, CA
08.2008 - 03.2011
- Process HMO Claims, HCFA1500 & UB04 claims, Paper & Electronic; enter correct provider and correct member's MRN #, using IDX.
Data Compilation Specialist
DATAQUICK INFORMATION SERVICES
San Diego, CA
07.2006 - 01.2008
- Heavy data entry of reels of tapes (sent from County Recorder's offices).
Medical Claims Processor/Data Entry Clerk
CLAIMS DEPARTMENT/MANAGED CARE SOUTHERN CALIFORNIA PHYSICIANS
San Diego, CA
09.2005 - 07.2006
- Process HMO Claims, HCFA1500 & UB04 claims, paper & electronic; enter correct provider and correct member's MRN #, using EZ-CAP System.
Provider Data Specialist
COVENTRY HEALTHCARE
San Diego, CA
06.1998 - 10.2004
- Data entry of new and updating existing patient information, demographics, etc.
- Internet search for providers, new & existing, to add to the system.
Education
High School Diploma - Business Secretarial
RIO LINDO ACADEMY
1967
Skills
ICD10, Unix
Skills
- Microsoft Office: Word, Outlook, Access, Windows 10, Basic knowledge -Excel
- EZ-CAP Claims Processing
- Epic
- IDX
- Windows XP
- IHIS
- Unix
- Windows XP
- Salesforce
Timeline
Dental Claims Intake Processor I
Skygen Usa
10.2022 - 08.2023
Claims Resolution Coordinator
UC San Diego Health
2019.07 - 2022.02
Healthcare Data Entry Specialist/Billing
UC SAN DIEGO HEALTH
01.2017 - 12.2017
Data Quality Specialist/Data Management
SHARP HEALTH PLAN
08.2016 - 10.2016
Claims/Billing/Data Entry Examiner I
AMERICAN SPECIALTY HEALTH
11.2013 - 10.2015
Data Validation Specialist/Billing
VERICARE BEHAVIORAL HEALTH
04.2012 - 10.2012
Account Adm. Representative
KAISER PERMANENTE HEALTH CA Service Center
03.2011 - 04.2011
Medical Claims Processor/Data Entry Clerk
UNITED HEALTHCARE
08.2008 - 03.2011
Data Compilation Specialist
DATAQUICK INFORMATION SERVICES
07.2006 - 01.2008
Medical Claims Processor/Data Entry Clerk
CLAIMS DEPARTMENT/MANAGED CARE SOUTHERN CALIFORNIA PHYSICIANS
09.2005 - 07.2006
Provider Data Specialist
COVENTRY HEALTHCARE
06.1998 - 10.2004
High School Diploma - Business Secretarial
RIO LINDO ACADEMY
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