Nathaniel Quenzer
Saint Paul,MN
Summary
Friendly and reliable person offering unmatched customer service and workplace focus. Quick and accurate in cash and card transactions with excellent multi-tasking aptitude.
Overview
6
6
years of professional experience
Work History
Volunteer
Hallie Q Brown Community Center
10.2019 - 02.2020
- Represented organization positively and professionally while providing community with much-needed services.
- Completed daily domestic tasks like grocery shopping to assist people in need.
- Helped clients navigate social services system and access needed resources.
- Helped clients navigate the food shelf, bagged groceries and delivered to their car.
Medical Claims Processor
Aerotek: Recruiting And Staffing
10.2017 - 03.2019
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Managed large volume of medical claims on daily basis.
- Generated, posted and attached information to claim files.
Prior Authorization Pharmacy Technician
Aerotek: Recruiting And Staffing
07.2016 - 10.2017
- Resolved third-party billing, computer system and customer service issues.
- Verified eligibility and compliance with authorization requirements for service providers.
- Processed new medication and refill requests for authorization.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Resolved patient billing inquiries and other issues efficiently.
- Maintained patient confidentiality and safeguarded medical records to avoid information breaches.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Communicated pertinent information to client's prescribing provider to facilitate quality service.
- Processed patients lacking coverage for planned procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
- Completed form letters in response to requests or problems identified by correspondence.
- Typed acknowledgment letters to persons sending correspondence.
- Prepared documents and correspondence such as damage claims, credit and billing inquiries and service complaints.
Chef De Partie
Travail Kitchen And Amusements
02.2014 - 06.2016
- Acted as Front Of House supervisor and maintained good relations with customers.
- Navigated POS system to ring in, edit, and close out tabs, and managed cash and credit transactions.
- Developed customer-facing problem solving skills.
- Honed a charismatic attitude, and engaged customers with theatrical amusements.
- Acted as head chef when required to maintain continuity of service and quality.
- Mentored kitchen staff to prepare each for demanding roles.
- Plated every dish with attractive flair to meet strict restaurant standards and maintain stellar business reputation.
Education
Associate of Applied Science - Culinary Arts
St. Croix Culinary School
Sommerset, WI05.2006
High School Diploma -
Stillwater Area High School
Stillwater, MN05.2004
Skills
- Attention to Detail
- Excellent Customer Service
- Issue Resolution
- Time Management Skills
- Sales Expertise
- Hospitality and Accommodation
Timeline
Volunteer
Hallie Q Brown Community Center
10.2019 - 02.2020
Medical Claims Processor
Aerotek: Recruiting And Staffing
10.2017 - 03.2019
Prior Authorization Pharmacy Technician
Aerotek: Recruiting And Staffing
07.2016 - 10.2017
Chef De Partie
Travail Kitchen And Amusements
02.2014 - 06.2016
Associate of Applied Science - Culinary Arts
St. Croix Culinary School
High School Diploma -
Stillwater Area High School
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