Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Patrice Allen

Oakley,CA

Summary

Efficient Healthcare Claim Examiner known for productivity and swift task completion. Skilled in analyzing complex claims, reviewing work assignments for the claim examiners. An organized and motivated individual Possess strong organizational skills, critical thinking capability, and effective communication techniques to excel in fast-paced environments.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Lead Claim Examiner

Kaiser Permanente, Oakland
Oakland, CA
11.1995 - 03.2021
  • Assessed claim accuracy according to company policies and procedures.
  • Analyzed data from medical records, police reports, or other sources to evaluate claim validity.
  • Reviewed and evaluated customer claims to determine coverage eligibility.
  • Verified claimant identity and reviewed information for completeness.
  • Documented all information regarding claim status in the database system.
  • Provided guidance and support to junior staff members on difficult cases.

Medical Billing, Insurance, and Coding Instructor

Pittsburg Adult Education
Pittsburg, CA
03.2010 - 11.2010
  • Assessed student performance through exams, quizzes, written assignments, or other appropriate methods.
  • Prepared course syllabi outlining objectives and expectations for each class session.
  • Researched current trends in medical billing practices and updated course content accordingly.
  • Maintained student records detailing progress, attendance and program requirements.
  • Planned in-class activities, discussions and lectures to increase student comprehension and participation.

Education

Bachelor of Science - Counseling Psychology

State University of New York
New York, NY
02-2017

Associate of Arts - Psychology

College of Alameda
Alameda, CA
06-1978

Skills

  • Healthcare claims processing
  • Team Leadership
  • Determine the coverage of healthcare
  • Payment authorization on healthcare claims
  • Data entry
  • Excellent verbal and written communication
  • Customer service

Certification

  • Medical Terminology Certificate
  • P.C. Operations

Timeline

Medical Billing, Insurance, and Coding Instructor

Pittsburg Adult Education
03.2010 - 11.2010

Lead Claim Examiner

Kaiser Permanente, Oakland
11.1995 - 03.2021

Bachelor of Science - Counseling Psychology

State University of New York

Associate of Arts - Psychology

College of Alameda

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Patrice Allen