Experienced Claims professional with over 27 years of experience in multiple positions within the medical field. I am a trusted employee who needs little oversight to complete tasks, projects, or daily work queues. Always willing to take on more, or help others in times of need.
Analyze and enter Medical and Dental claims to pay according to the Employers Summary Plan Document.
Scan and attach paper claims to the system claims
In charge of all dental claims and my own work queue.
Self motivated with little oversight needed to meet and exceed quality and production standards.
Apply refunds to medical and dental claims
Build User Profile for Providers.
Diagnose and problem solve submitted tickets.
Research providers to ensure correct builds.
Create user profiles using templates to ensure correct accesses.
Provide timely response to provider issues.
Daily monitoring and completion error queues to ensure providers have necessary permissions.
Analyze and enter Medical and Dental claims to pay. according to the Employers Summary Plan Document.
Scan and attach paper claims to the system claims
In charge of all dental claims and my own work queue.
Self motivated with little oversight needed
Data entry of medical claim encounter forms in s timely manner.
Apply adjudication codes for the next step of the claim.
Self motivated with little oversight to exceeded quality and productivity standards
Microsoft Office Suite
EPIC