Jessica Meyers

Translate foreign claims to english, look up the American ICD diagnosis codes, CPT and or REV codes. Build a standard claim and then send it to the TPA.

• Managed high-volume caseloads for optimal productivity while maintaining strict attention to detail.
• Researched and resolved complex medical claims issues to support timely processing.
• Monitored and updated claims status in claims processing system.
• Managed large volume of medical claims on daily basis.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Maintained strict confidentiality with all personal data as per company guidelines.
• Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
• Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
• Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
• Participated in ongoing training programs to stay current on industry developments and maintain a strong understanding of relevant laws and regulations affecting the claims process.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Accurately coded medical diagnoses and procedures using standardized coding systems, ensuring proper reimbursement for healthcare providers.
• Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
• Reviewed provider coding information to report services and verify correctness.
• Checked documentation for accuracy and validity on updated systems.
• Verified client information by analyzing existing evidence on file.
• Prepared insurance claim forms or related documents and reviewed for completeness.

• Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
• Verified patient insurance coverage and benefits for medical claims.
• Managed large volume of medical claims on daily basis.
• Researched and resolved complex medical claims issues to support timely processing.
• Monitored and updated claims status in claims processing system.
• Identified and resolved discrepancies between patient information and claims data.
• Used administrative guidelines as resource or to answer questions when processing medical claims.
• Assessed medical claims for compliance with regulations and corrected discrepancies.
• Reviewed provider coding information to report services and verify correctness.
• Generated reports on medical claims processing activities and results.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Researched claims and incident information to deliver solutions and resolve problems.

• Emptied trash cans and recycling bins to keep building clean and free of germs.
• Replaced and refilled paper towel and toilet paper dispensers for users convenience.
• Kept building spaces premises clean inside and outside.
• Maintained clean and comfortable environments in commercial buildings by vacuuming, cleaning windows, and dusting.
• Handled spills, accidents and other cleaning emergencies to maintain cleanliness standards throughout assigned shift.
• Moved furniture for cleaning and set up for special events.
• Checked in and stocked inventory throughout facility.