Nikki Meador
San Angelo,TX
Summary
Detail-oriented professional with experience in administrative support and customer service. Expertise in reviewing medical claims, verifying insurance information, and maintaining compliance with healthcare regulations. Committed to efficient claim processing and delivering high-quality service.
Overview
8
8
years of professional experience
Work History
Senior Claims Examiner
HCSC, Blue Cross Blue Shield of Texas
San Angelo, Tx
08.2018 - Current
- Reviewed and processed medical insurance claims to ensure accuracy and completeness, facilitating timely reimbursement.
- Verified patient eligibility, insurance coverage, and claim information.
- Investigated and resolved claim discrepancies, denials, and billing issues, enhancing claims acceptance rates.
- Maintained confidential patient records in compliance with HIPAA regulations.
- Communicated with healthcare providers, insurance companies, and patients to provide updates on claim status, improving customer satisfaction.
- Entered and updated claim information in electronic healthcare systems.
- Ensured timely processing of claims according to company and regulatory guidelines.
- Assisted with appeals and claim resubmissions.
- Generated reports and maintained documentation related to claims processing activities.
Education
Silsbee High School
Silsbee, TXSkills
- Claims processing
- Claims analysis
- HIPAA compliance
- Medical coding
Timeline
Senior Claims Examiner
HCSC, Blue Cross Blue Shield of Texas
08.2018 - Current
Silsbee High School