Michele Veyera
Ladson,SC
Summary
Dynamic claims processor with proven expertise at PPCP/UHG/Optum, recognized for achieving significant reductions in error rates. Skilled in claims review and transactions reconciliation, I excel in fostering collaboration and maintaining confidentiality. My strong knowledge of medical terminology complements my commitment to accuracy, enhancing operational efficiency and patient satisfaction.
Overview
30
30
years of professional experience
Work History
Claims Processer
PPCP/ UHG/Optum
02.2005 - Current
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Managed workload and priorities to meet claims processing meet deadlines.
- Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
- Utilized specialized software to process incoming claims, enter data and generate reports.
- Trained new employees on claims processing procedures, contributing to a well-prepared workforce.
- Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
- Achieved significant reductions in error rates, rigorously adhering to company guidelines and procedures.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Coordinated with healthcare providers and internal teams to resolve claim disputes effectively.
- Mentored junior claims processors on best practices and company policies for improved workflow.
- Utilized claims management software to track and manage workflows, optimizing turnaround times.
Front Office Assistant
Sewee Family Medicine
06.2000 - 02.2005
- Supported patient communications by answering inquiries and providing information on services offered.
- Handled financial transactions accurately by processing payments, issuing receipts, and maintaining detailed records of all transactions.
- Supported staff members with administrative tasks, improving productivity across various departments.
- Updated client databases regularly while maintaining accuracy in contact details comprehensively.
- Streamlined front office operations, contributing to more organized and welcoming environment for visitors.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
Front Office Assistant
Carolina Family Care
03.1996 - 06.2000
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Directed phone inquiries, answered customer questions, and scheduled appointments.
- Assisted in maintaining patient records, ensuring accuracy and confidentiality in documentation processes.
- Reviewed and updated customer information in database for accuracy.
- Processed payments and informed individuals of further financial responsibility to facilitate timely payments.
- Completed patient check-in processes by verifying insurance and submitting forms to nursing team.
- Made accurate cash deposits successfully under tight deadlines ensuring proper handling and processing of company funds.
- Enhanced patient experience by providing helpful information and answering queries with empathy and professionalism.
Education
Certified Professional Coder - Medical Billing And Coding
AAPC
Salt Lake City, UT01-2018
No Degree - Basic Computer Tech And Accounting
Trident Technical College
Charleston, South Carolina, SC01-1995
Skills
- Claims review
- Accuracy and precision
- Transactions reconciliation
- Claims
- Medical terminology
- Payments posting
- Claims processing
Timeline
Claims Processer
PPCP/ UHG/Optum
02.2005 - Current
Front Office Assistant
Sewee Family Medicine
06.2000 - 02.2005
Front Office Assistant
Carolina Family Care
03.1996 - 06.2000
Certified Professional Coder - Medical Billing And Coding
AAPC
No Degree - Basic Computer Tech And Accounting
Trident Technical College