Summary
Overview
Work History
Skills
Languages
Timeline
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KOFI NIFAH

Little Ferry,NJ

Summary

Possesses versatile skills problem-solving, and collaboration. Brings fresh perspective and strong commitment to quality and success. Recognized for adaptability and proactive approach in delivering effective solutions.

Overview

5
5
years of professional experience

Work History

Medical Claims Processor

Firstsource
02.2020 - Current
  • Processed assigned claims.
  • Used administrative guidelines as resource or to answer questions when processing medical claims.
  • Assessed medical claims for compliance with regulations and corrected discrepancies.
  • Followed up on denied claims to verify timely patient payment and resolution.
  • Resolved issues involving customer complaints and claim adjudications
  • Reviews case documentation to update customers on the status of pending claims
  • Identifies potential billing errors
  • Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality and attendance
  • Working knowledge of computer functions including the internet, and computer software such as Microsoft Office Suite.
  • Compile, analyze, and report data on claims.
  • Possess clear and concise verbal communication, both written and verbal
  • Maintained confidentiality of patient finances, record and health statuses
  • Collaborates with various business units to resolve claims issues to ensure prompt and accurate claims adjudication.

Skills

  • Customer Service
  • Problem-solving aptitude
  • Teamwork and Collaboration
  • Active Listening
  • Microsoft Office

Languages

English
Native or Bilingual

Timeline

Medical Claims Processor

Firstsource
02.2020 - Current
KOFI NIFAH