Karen Tromble
Kenmore
Summary
Detail-oriented Claims Specialist with a proven track record of managing high volumes of claims and producing timely reports. Skilled in documentation review and teamwork.
Overview
22
22
years of professional experience
Work History
Claims Specialist
BestSelf Behavioral Health Inc
04.2016 - Current
- Evaluated insurance claims for compliance with policies and regulations.
- Using insurance portals to verify and download eobs for processing.
- Reviews and proceesses payer eobs payments and denials
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Produces and analyzes routine reports in a timely manner.
- Verified client information by analyzing existing evidence on file.
- Posted payments to accounts and maintained records.
Up Front Review Group Leader
Lincare Inc
10.2003 - 04.2016
- Led team to improve operational efficiency and enhance patient care services.
- Reviewing incoming documents for completeness and accuracy to meet insurance requirements.
- Data entry of new client information, scripts for claims processing.
- Ensuring all necessary information for sucessful billing and claims processing is obtained.
- Weekly held sales meetings with customer service to correct problems that prevent billing.
- recording account activity in tickler files and using office software.
- Reviewing various reports for quality assurance purposes.
Education
Bachelor of Science -
University At Buffalo
Buffalo, NY05-2000
Skills
- Verbal communication
- Microsoft office
- Documentation review
- Time management
- Organizing and prioritizing work
- Attention to detail
- Teamwork and collaboration
- Multitasking Abilities
- Data entry
- Task prioritization
- Claims
Timeline
Claims Specialist
BestSelf Behavioral Health Inc
04.2016 - Current
Up Front Review Group Leader
Lincare Inc
10.2003 - 04.2016
Bachelor of Science -
University At Buffalo