Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lisa Maye

York,PA

Summary

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.

Overview

31
31
years of professional experience

Work History

Claims Analyst

Wellspan Population Health
York, PA
04.2022 - Current

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

Systems Application Analyst

Wellspan Population Health Services
York, PA
04.2020 - 04.2022

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.

Claims Analyst

Wellspan Population Health
York, PA
07.1998 - 04.2020

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

Claims Examiner

Blue Cross/Blue Shield of Harrisburg
Harrisburg, PA
06.1993 - 06.1998

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

Education

Certificate - Travel And Tourism

Yorktowne Business Institute
York, PA
06.1991

High School Diploma -

Central York High School
York, PA

Skills

Microsoft Office Suite

EPIC

Timeline

Claims Analyst

Wellspan Population Health
04.2022 - Current

Systems Application Analyst

Wellspan Population Health Services
04.2020 - 04.2022

Claims Analyst

Wellspan Population Health
07.1998 - 04.2020

Claims Examiner

Blue Cross/Blue Shield of Harrisburg
06.1993 - 06.1998

Certificate - Travel And Tourism

Yorktowne Business Institute

High School Diploma -

Central York High School
Lisa Maye