Julie Miller
Tolono,IL
Summary
Dynamic professional with extensive experience at Health Alliance Medical Plans, excelling in claims analysis and policy interpretation. Demonstrated success in enhancing customer satisfaction and streamlining workflow, showcasing strong interpersonal communication and proficiency in the Epic Tapestry System. Proven ability to manage sensitive information with utmost confidentiality and attention to detail.
Overview
26
26
years of professional experience
Work History
Claims Analyst
Health Alliance Medical Plans
11.2022 - Current
- 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.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Certified Professional Coder
Health Alliance Medical Plans
10.2013 - 11.2022
- Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
Claims Analyst & Claims Tech
Health Alliance Medcal Plans
10.1998 - 10.2013
- 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.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
Education
Certificate - Travel & Tourism
Parkland College
Champaign, ILSkills
- Claims
- Claims analysis
- Interpersonal and written communication
- Policy interpretation
- Worked in Epic Tapestry System
Timeline
Claims Analyst
Health Alliance Medical Plans
11.2022 - Current
Certified Professional Coder
Health Alliance Medical Plans
10.2013 - 11.2022
Claims Analyst & Claims Tech
Health Alliance Medcal Plans
10.1998 - 10.2013
Certificate - Travel & Tourism
Parkland College
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