Summary
Overview
Work History
Education
Skills
Timeline
Generic

Joene Herbert

Data Entry / Claim Processing
Mechanicsburg,PA

Summary

I processed claims for multiple different insurance areas and different states. I would have guidelines to follow for each different insurance I would work. I would add the claims into the designated systems and put all information of claims into the system. When I would key claims into the system if something isn't correct I would get suspensions and I would have to bring them up in the guidelines to tell me what I am to do with each and every suspensions you might receive on every claim. I have processed claims for the last 22 years with different departments within the company I worked.

Overview

23
23
years of professional experience

Work History

Associate Claims Processor

Highmark, Inc.
12.2000 - 08.2023
  • Utilized specialized software to process incoming claims, enter data and generate reports.
  • Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
  • Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Evaluated accuracy and quality of data entered into agency management system.

Education

Graduation Diploma - Medical Claims Billing

Computer Learning Network
Mechanicsburg, PA
06.2002

Graduation Diploma - Medical Billing

Thompson Institute
Harrisburg,PA
06.2000

High School Diploma -

Cumberland Valley High Schools
Mechanicsburg, PA
06.1980

Skills

  • Informational Releases
  • Transactions Reconciliation
  • Office Operations
  • Payments Posting
  • Information Updates
  • Validation of Discrepancies
  • Insurance Terminology
  • Claims Preparation
  • Personal Data Evaluation
  • Payment and Investigation Escalations
  • Data Entry Software
  • Amount Calculation

Timeline

Associate Claims Processor

Highmark, Inc.
12.2000 - 08.2023

Graduation Diploma - Medical Claims Billing

Computer Learning Network

Graduation Diploma - Medical Billing

Thompson Institute

High School Diploma -

Cumberland Valley High Schools
Joene HerbertData Entry / Claim Processing