Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jorge Castellon Jr

Conyers,Georgia

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

9
9
years of professional experience

Work History

Medical Claims Processor

SunMed International LLC
01.2017 - Current
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Evaluated medical claims for accuracy and completeness and researched missing data.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Verified patient insurance coverage and benefits for medical claims.
  • Monitored and updated claims status in claims processing system.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.

Education

Associate of Applied Science - Psychology

Colorado Christian University
Denver, CO
03.2024

High School Diploma -

Atlantic Southeastern Academy
Miami, FL
03.2014

Skills

  • Payment Collection
  • Insurance Practices
  • Office Administration
  • HIPAA Compliance
  • Medical Data Collection
  • Appointment Scheduling
  • Microsoft Office
  • CRM Software
  • Customer Service
  • Fluent in English - Spanish

Timeline

Medical Claims Processor

SunMed International LLC
01.2017 - Current

Associate of Applied Science - Psychology

Colorado Christian University

High School Diploma -

Atlantic Southeastern Academy

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