Experienced healthcare professional with strong background in processing and managing medical claims. Skilled in analyzing complex data, ensuring compliance with regulations, and resolving claims efficiently. Known for collaborative approach and adaptability, consistently delivering results in dynamic environment. Reliable team player with expertise in medical billing software, HIPAA regulations, and customer service.
Hi, I’m
Nicki Khanchareun
Fresno,CA
Summary
Overview
10
years of professional experience
Work History
Navia Benefit Solutions
Claims Specialist
09.2022 - Current
Job overview
- Verified claim data correctness in preparation on processing
- Reviewed history records to determine benefit eligibility for services
- Experience in HRA, FSA and HCFSA claims
- Conduct investigation for fraudulent claims, analyze outcome of investigation and make appropriate liability decision
- Analyze contact and claim systems to apply appropriate benefit amounts
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed incoming calls, emails and faxes from customers.
Cabrera Enterprises Inc.
Clerk
08.2017 - Current
Job overview
- Perform general office duties, including faxing, copying, scanning and filing
- Maintain files and records updated and easily accessible
- Sort and distribute incoming mail and prepare outgoing mail (envelopes, packages, etc.)
- Undertake basic bookkeeping tasks and issue invoices, checks etc.
- Monitor stocks of office supplies
- Multi-line phone operations
- Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
Dr. Raymond Mulvey O.D
Floater
09.2018 - 10.2021
Job overview
- Managed incoming phone calls professionally, ensuring accurate message taking and prompt response times.
- Operate opening and closing store (Cashier)
- Pre test patients for doctor (Auto refractor and Tonometer-puff of air)
- Complete any customer request for adjustments/dispensing
- Ensured prompt follow-up with patients regarding order status updates or changes to scheduled appointments.
- Maintained an organized and clean reception area to create a welcoming environment for patients.
- Handled patient check-in procedures smoothly while verifying necessary documentation such as insurance cards or referral forms.
Sears optical
Sales Associate/Optical
05.2017 - 08.2018
Job overview
- Customer service: greet customers, follow up phone calls, place eye wear/contact order
- Complete any customer request for adjustments/dispensing
- General office duties: Faxing, make copies, maintain office cleanliness, stock items, inventory
- Operate opening and closing store
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Assessed customer needs and utilized suggestive selling techniques to drive sales.
- Performed cash, card, and check transactions to complete customer purchases.
Eye Glass World
Sales Associate/Optical
07.2014 - 05.2017
Job overview
- Customer service: Follow up phone calls, greet customers, place eye wear order
- Complete any customer request for adjustments/dispensing
- Frame styling for customers
- General office duties: Faxing, make copies, maintain office cleanliness, stock items, inventory
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Managed returns, exchanges and refunds in accordance with store policy.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Performed cash, card, and check transactions to complete customer purchases.
Education
Carter G. Woodson High SchoolFresno, CA
High School Diploma
06.2011
University Overview
Skills
- Customer Service Skills
- Multi-Line Phone System
- Microsoft Office
- Insurance Verification
- Invoicing
- Cashier
- Medical Records
- 10 Key Data Entry
- CPT coding
- Medical terminology
- Claims Processing
- Claims
- Insurance knowledge
- Time Management
- Decision-Making
Additional Information
Additional Information
50 wpm/ 10-Key, Multi-line Phone, Microsoft Office (Word, Powerpoint, Database), Scheduling Appointments, Invoicing Insurance, Cash handling, Dispensing eyeglasses/Fitting, Insurance benefits verification (Spectera, Davis Vision, VSP, Eye Med, MES, etc.)Personal Information
Personal Information
Work Permit: Authorized to work in the US for any employerTimeline
Claims Specialist
Navia Benefit Solutions
09.2022 - Current
Floater
Dr. Raymond Mulvey O.D
09.2018 - 10.2021
Clerk
Cabrera Enterprises Inc.
08.2017 - Current
Sales Associate/Optical
Sears optical
05.2017 - 08.2018
Sales Associate/Optical
Eye Glass World
07.2014 - 05.2017
Carter G. Woodson High School
High School Diploma
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