Skilled in interviewing, records searching and documentation. Excellent critical thinking and organizational abilities. Proficient in insurance policy coverage levels, industry practices and compliance requirements.
Overview
13
13
years of professional experience
Work History
Claims Service Representative
Carefactor
Columbus, Ohio
09.2021 - Current
Coordinated and planned investigations of claims to confirm compensability and coverage.
Provided guidance and assistance to junior colleagues when necessary
Responded to inquiries from regulatory bodies and complied with reporting requirements.
Strong problem solving skills
knowledge of medical billing
knowledge of billing software & health record systems
Office Administrative Assistant
Greene Solutions
Columbus, OH
03.2016 - 09.2021
Maintained confidentiality of sensitive data in accordance with company policies.
Scanned physical documents and uploaded to encrypted databases for digital maintenance.
Executed on-time, under-budget projects by solving complex issues for senior leadership.
Project Manager
Ecova
Columbus, OH
01.2014 - 03.2016
Conducted periodic inspections of job sites for quality and progress.
Developed and maintained project plans, timelines, and budgets.
Identified project needs by reviewing project objectives and schedules.
Claims Analyst
Express Scripts
Columbus, OH
01.2012 - 01.2014
Ensured compliance with federal and state regulations governing insurance industry operations.
Maintained accurate records of all claim activities in accordance with company policies.