Michael Collins
Medical Claims Processor
Phenix City,AL
Summary
Seasoned Medical Claims Processor with 7+ years of direct experience in adjudication, provider inquiries, and high-volume processing at Anthem Blue Cross and Blue Shield. Skilled in medical terminology, claims status verification, denial resolution and building strong provider relationships. Detail-oriented and investigative professional with proven communication and organizational strengths, eager to leverage expertise in efficient healthcare claims operations.
Overview
14
14
years of professional experience
Work History
Senior Associate Pastor
Fellowship Church
Smiths Station, Alabama
02.2020 - Current
- Facilitated effective communication between church ministries, ensuring alignment with organizational goals and values.
- Managed budgets responsibly while prioritizing essential projects that provided maximum impact on congregational life.
- Provided pastoral counseling, offering guidance and support to individuals during challenging times.
- Led programs such as worship, study, fellowship, and service opportunities.
Medical Claims Processor
Anthem Blue Cross and Blue Shield
Midland, GA
05.2014 - 03.2021
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Researched and resolved complex medical claims issues to support timely processing.
Claims Customer Service Representative
Anthem Blue Cross And Blue Shield
Midland, GA
01.2012 - 05.2014
- Developed strong relationships with providers, fostering trust and loyalty through exceptional customer service.
- Conducted thorough research on client issues, reducing resolution time and increasing satisfaction rates.
- Delivered comprehensive training sessions for new hires, ensuring consistent service quality across the team.
- Managed high call volume, providing prompt assistance to providers seeking help with claim resolution.
Education
Some College (No Degree) -
Southern Union State Community College
Opelika, AL 05.2001 -
High School Diploma -
Smiths Station High School
Smiths Station, AL 05.2001 -
Skills
Strong interpersonal skills
Effective communication
Claims processing expertise
Knowledge of medical terminology and claim coding
Skilled in Microsoft Office applications
HIPAA compliance
Analytical problem-solving
Timeline
Senior Associate Pastor
Fellowship Church
02.2020 - Current
Medical Claims Processor
Anthem Blue Cross and Blue Shield
05.2014 - 03.2021
Claims Customer Service Representative
Anthem Blue Cross And Blue Shield
01.2012 - 05.2014
Some College (No Degree) -
Southern Union State Community College
05.2001 -
High School Diploma -
Smiths Station High School
05.2001 -