Monique O’Neal
Kansas City,MO
Summary
Accomplished Claims Intake Specialist/Adjuster with a proven track record at THE JACOBSON GROUP/CHUBB, adept in claims processing software and excelling in problem-solving. Demonstrated ability to enhance claims handling processes, achieving a 20% efficiency increase. Skilled in collaborating with healthcare providers and mastering insurance regulations, ensuring compliance and customer satisfaction.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Claims Intake Specialist/Adjuster
THE JACOBSON GROUP/CHUBB
Overland Park, KS
07.2021 - Current
- Serving as claim intake specialist for claimants seeking reimbursement for insurance policies
- Verifying financial/insurance information, communicate payment policies/procedures, assist with claim processing, send task to Case Managers, review and attach medical documents, answer calls
P/T Medical Billing Specialist
Cerner Corporation
Kansas City, MO
02.2019 - 07.2021
Claims Examiner
GENERALI/TRIPMATE
Kansas City, MO
08.2018 - 03.2021
Leverage Sales Rep
AT&T
Kansas City, MO
09.2016 - 01.2019
Referral Specialist
CENTENE
Lenexa, KS
06.2013 - 07.2016
Lead Representative
TRUMAN MEDICAL CENTER
Kansas City, MO
11.2007 - 10.2012
Tele Sales Specialist/Advocate
UNITED HEALTH GROUP
Kansas City, MO
01.2006 - 11.2007
Education
High School Diploma -
Central High School
Kansas City, MO05-1999
Skills
- Call Center Operations
- Troubleshooting/ Problem Solving
- Support/ Complaint Handling
- Reports & Documents
- Check Run/ Claims Support
- Project Management
- Census Report
- Pre-Authorization Processing
- Denials/ P2P Scheduling
- Claims Examiner/Appeals
- Conducted Audits for insurance claims
- Collaborated with healthcare providers to resolve coding issues
- Microsoft office
- Claims analysis
- Claims review
- Claims processing software
- Insurance regulations
Certification
Accident & Health, 2019
Currentresponsibilities
- Serving as claim intake specialist for claimants seeking reimbursement for insurance policies.
- Verifying financial/insurance information.
- Communicating payment policies/procedures.
- Assisting with claim processing.
- Sending tasks to Case Managers.
- Reviewing and attaching medical documents.
- Answering calls.
Profile Snapshot
31, customer and patient care, claim processing, communications, problem solving, relationship building, user training and support, Cerner Powerchart, Word, Excel, PowerPoint, Access, Outlook, AS400, CV Claim Vantage, Amysis, TruCare, CRM, AWD, KMAP, Claim processing software, Knowledge Link
Education and Training
other
Awards
- Call of the Month Award, 01/01/10
- Peer to Peer Mentor
Timeline
Claims Intake Specialist/Adjuster
THE JACOBSON GROUP/CHUBB
07.2021 - Current
P/T Medical Billing Specialist
Cerner Corporation
02.2019 - 07.2021
Claims Examiner
GENERALI/TRIPMATE
08.2018 - 03.2021
Leverage Sales Rep
AT&T
09.2016 - 01.2019
Referral Specialist
CENTENE
06.2013 - 07.2016
Lead Representative
TRUMAN MEDICAL CENTER
11.2007 - 10.2012
Tele Sales Specialist/Advocate
UNITED HEALTH GROUP
01.2006 - 11.2007
Accident & Health, 2019
High School Diploma -
Central High School
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