Leondra Chavis
Columbus,OH
Summary
Dedicated healthcare professional prioritizing confidentiality and adhering to state, federal, and HIPAA laws. Proficient in utilizing EHR systems to accurately input and retrieve data, ensuring seamless operations. Keen eye for detail when reviewing medical claims, guaranteeing proper reimbursement and assessing medical necessity.
Overview
4
4
years of professional experience
Work History
Member Advocate
UnitedHealth Care – Member Services
10.2021 - Current
- Answer member inquiries about covered benefits including but not limited to inpatient/outpatient procedures, dental and vision coverage
- Reply to both member and provider inquiries about membership eligibility
- Help with processing claims for medical and dental services as well as looking up CPT codes in systems to verify coverage.
Benefits Specialist
Quantum Health – Care Coordinator
01.2021 - 02.2021
- Aid members via inbound and outbound calls regarding their medical benefits
- Create Preauthorization’s for services and follow up with members about prior authorizations and predeterminations
- Utilize internal network database to locate in network providers and facilities
- Work closely with nurses and medical staff to confirm services rendered.
Gap INC. – Customer service rep
McGraw-Hill Education – Product Support Specialist
Dish Network – Technical Support
Education
Medical Billing and Coding program -
DeVry University
Skills
- Medical Terminology
- Medical Records
- Human Anatomy
- Health Services Information Systems
- ICD-10-PCS Coding
- ICD-10-CM Coding
- CPT Coding
- HIPAA
- Legal/Regulatory
- Strong written and verbal communication
- 3M Coding & Reimbursement System
Personal Information
Title: Medical billing and Coding specialist
Timeline
Member Advocate
UnitedHealth Care – Member Services
10.2021 - Current
Benefits Specialist
Quantum Health – Care Coordinator
01.2021 - 02.2021
Gap INC. – Customer service rep
McGraw-Hill Education – Product Support Specialist
Dish Network – Technical Support
Medical Billing and Coding program -
DeVry University
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