Leah Teats
Meridian
Summary
Dynamic Claims Examiner with expertise in claims processing and policy interpretation at Blue Cross of Idaho. Proven ability to enhance customer satisfaction through effective communication and decision-making. Skilled in claims evaluation and investigative techniques, ensuring compliance and accuracy while maintaining confidentiality. Committed to fostering a collaborative team environment and training new staff for success.
Overview
22
22
years of professional experience
Work History
Claims Examiner
Blue Cross of Idaho
02.2005 - Current
- Evaluated claims for accuracy and compliance with policy guidelines.
- Processed and adjudicated insurance claims utilizing claims management software.
- Collaborated with internal teams to resolve discrepancies in claim submissions.
- Conducted thorough investigations to determine claim validity and eligibility.
- Assisted in training new team members on claims examination processes and systems.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Optometrist Assistant
Eyemart Express LLC
03.2004 - 06.2005
- Assisted optometrists in conducting comprehensive eye examinations and patient assessments.
- Managed patient scheduling, ensuring efficient use of clinic resources and timely appointments.
- Educated patients on contact lens usage, care, and optical products available at the practice.
- Maintained accurate patient records using electronic health record systems to support clinical workflows.
- Trained new staff on office procedures and customer service standards for optimal performance.
- Contributed to a positive office environment by providing excellent customer service to patients both in-person and over the phone.
- Improved patient experience by efficiently scheduling appointments and managing follow-up communications.
Education
Certificate - Medical Coding And Billing
Fayetteville Technical Community College
Remote11-2023
High School Diploma -
Plano East Senior High
Plano, TX06-2001
Skills
- Claims processing
- Policy interpretation
- Coding systems
- Healthcare procedures
- Investigative skills
- Computer skills
- Claims evaluation
- Decision-making
- Customer service and support
- Payment processing
- Claims
- File and record management
- Claims investigation
- Healthcare common procedures coding system (HCPCS)
Timeline
Claims Examiner
Blue Cross of Idaho
02.2005 - Current
Optometrist Assistant
Eyemart Express LLC
03.2004 - 06.2005
Certificate - Medical Coding And Billing
Fayetteville Technical Community College
High School Diploma -
Plano East Senior High
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