Analytical Claims Biller successful at resolving disputes and billing inquiries. Detail-oriented individual with 2years of experience performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers.
Overview
13
13
years of professional experience
Work History
Claims Representative
CVS Pharmacy
Phoenix, AZ
02.2022 - 03.2024
Conducted research into medical terminology related to healthcare claims processing activities.
Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
Interpreted legal documents such as contracts or court orders when evaluating claims for payment.
Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
Ensured timely submission of required documentation from claimants prior to approval of payment.
Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
CNA
Brookdale Assisted Living
Chandler, AZ
02.2011 - 05.2020
Provided assistance with activities of daily living, including bathing, dressing and grooming.
Assisted patients in ambulation and transfers using proper body mechanics.
Performed vital sign assessments, such as taking blood pressure and temperature.
Documented patient care services by charting in designated areas.
Reported changes in patient conditions to registered nurse or physician.
Answered patient call lights promptly and responded to requests appropriately.
Collaborated with interdisciplinary team members to ensure quality patient care was delivered at all times.
Assisted with range of motion exercises and other rehabilitative activities per physician orders.
Education
Hamilton High School
05.2010
Seven Health Academy
Skills
Adaptive team player with courteous demeanor
Active listening skills and sharp problem solver
Highly knowledgeable Representative
Energetic work attitude, dependable and reliable
Call center Lead experience
Customer service expertise and customer care issues
Dedicated to process improvement
Resolution-oriented with Great communication Skills
Microsoft Office-Word, Outlook, Quick books, Word processing, Database tools and Spreadsheets