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.