Katelyn Hudson
Baconton,GA
Summary
Results-driven Claims Associate experience in claims processing, customer service, and dispute resolution. Adept in policy review, data entry, and data management. Demonstrated success in quickly and accurately resolving claims.
Quality Analyst with 11 years of experience in the medical device industry. Skilled in analyzing product performance, conducting process audits, establishing quality control procedures, and implementing corrective actions. Experienced in utilizing data analysis to identify trends and drive continuous improvement
An experienced, ambitious, and results-oriented Claims Associate with expertise in customer retention, client registration, and multi-line phone operations. Highly driven and hardworking professional with excellent communication and negotiation skills.
Overview
5
5
years of professional experience
Work History
Claims Representative
UnitedHealthcare
03.2021 - Current
- Analyzed and addressed escalated claims to resolve issues quickly
- File and process client insurance claims
- Ensure coverage and figure payment amount for each claim
- Draft and send statements of amount of coverage and amount owed to customer
- Send payments to doctors offices or hospitals for covered procedures
- Assist new customers in signing up for insurance coverage
- Enter all customer information into computer system for future record
- Reimburse customers for payments made that should have been covered
- Help with customer appeals to denied claims
Patient Access Representative
Medical Group of Mitchell County
01.2019 - 03.2021
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
- Providing excellent customer service by promptly answering patient inquiries
- Strives to make patient registration process as pleasant as possible
- Stayed calm under pressure to and successfully dealt with difficult situations
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks
- Resolved patient billing issues in line with established guidelines
Education
High School Diploma -
Lee County High School
Leesburg, GA05.2009
Skills
- Insurance coverage verification
- Data entry
- ICD-10
- EMR systems
- Account management
- HIPAA
- Accounts receivable
- Settlement determinations
- Prior authorization processing
Timeline
Claims Representative
UnitedHealthcare
03.2021 - Current
Patient Access Representative
Medical Group of Mitchell County
01.2019 - 03.2021
High School Diploma -
Lee County High School
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