Methodical Claims Processing Clerk known for high productivity and efficient task completion. Possess specialized skills in claim evaluation, data entry accuracy, and regulatory compliance. Excel at time management, problem-solving, and communication, ensuring smooth operation within fast-paced environments. Seasoned Claims Processor evaluating online entry, error correction and quality control review for final adjudication of claims. Strong business and financial acumen with proven success to maintain efficient operations. Extensive knowledge of billing, collections and fiduciary management.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Radiologic Technologist and Medical Assistant
Medfast Urgent And Primary Care
03.2024 - Current
Captured images using mobile equipment in operating rooms, emergency rooms, and patients' bedsides.
Cultivated a positive team atmosphere by sharing knowledge, offering assistance, and fostering collaboration among colleagues.
Operated radiologic equipment to produce diagnostic images and films.
Collaborated with radiologists and other healthcare professionals to ensure accurate diagnoses through high-quality imaging results.
Improved patient care by efficiently performing diagnostic imaging procedures, including X-rays and CT scans.
Facilitated positive care experience for patients by establishing rapport and applying interpersonal skills to reduce anxiety and promote cooperation.
Promoted patient comfort during invasive procedures, using careful positioning techniques and clear explanations of each step in the process.
Ensured proper functioning of radiology equipment through routine inspection, calibration, troubleshooting and repair when necessary.
Enhanced patient experience with compassionate communication and meticulous attention to detail during examinations.
Assisted in training new Radiologic Technologists on department policies, procedures, equipment usage, and best practices for patient care.
Facilitated cross-departmental communication to streamline patient care from imaging to diagnosis.
Provided compassionate care to patients, easing their concerns and fostering positive experience during imaging procedures.
Explained imaging procedures to patients, offering comfort and assistance.
Prepared and positioned patients for imaging procedures.
Complied with HIPAA and company regulations to maintain confidentiality regarding patient health data and medical records.
Welcomed patients and tried to make procedures as pleasant as possible through discretion and personal support.
Repaired and troubleshot radiologic equipment.
Aided in reducing repeat examinations due to image artifacts or poor positioning through thorough pre-imaging assessments.
Elevated the overall image of the radiology department by adhering to all professional standards and ethics while interacting with patients, families, and staff members.
Sanitized, restocked, and organized exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Performed medical records management, including filing, organizing and scanning documents.
Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Claims Processing Clerk
Walmart
11.2001 - 07.2025
Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims.
Assisted claimants, providers and clients with problems or questions regarding claims.
Managed workload to meet or exceed productivity and quality standards.
Responded to external audits by providing requested claims documentation and explanations.
Department Manager
Walmart
11.2001 - 07.2025
Followed safety protocols and company processes and procedures.
Executed targeted merchandising and promotional plans to meet department sales goals.
Enforced safety rules and other policies to protect employees and minimize company liability.
Improved customer satisfaction rates through attentive service, prompt issue resolution, and continuous process improvements.
Maintained a professional work environment by addressing conflicts proactively and fostering open communication among staff members.
Education
Associate of Science - Radiologic Technology
Medacademy
Skills
Data entry proficiency
Workflow management
Verbal communication
Insurance regulations
Professionalism and ethics
Medical terminology
Claims review
Transactions reconciliation
Accuracy and precision
Claims
Policy interpretation
Regulatory compliance
Affiliations
I like to perform outdoor activities like hiking, camping, fishing etc.