Overview
Work History
Education
Timeline
Generic

Crystal Golden

Miles City,MT

Overview

8
8
years of professional experience

Work History

Claims Ability Analyst

The Hartford
Miles City, MT
02.2024 - Current
  • Interpreted complex medical policies and procedures to determine coverage eligibility.
  • Performed data entry into multiple computer systems related to health insurance benefits and claims processing.
  • Trained new staff members on proper claim submission methods, documentation requirements, coding practices.
  • Reviewed claims for accuracy before submitting for billing.
  • Checked documentation for appropriate coding, catching errors and making revisions.

Eligibility Interviewer

State of Montana DPHHS
Miles City, MT
02.2023 - 02.2024
  • Conducted eligibility interviews with applicants to determine their qualifications for various government assistance programs.
  • Assessed applicants' financial status, including income, assets, expenses, and debts.
  • Explained program regulations and requirements to clients in a clear and concise manner.
  • Reported suspected fraudulent activities to the appropriate authorities.

Benefit Verification Specialist

Employee Benefit Management Services
Billings, MT
11.2021 - 02.2023
  • Assisted customers with inquiries, issues and complaints via telephone, email and chat.
  • Maintained detailed records of customer interactions using contact management software.
  • Provided detailed information about insurance plans and benefits to health care providers, patients, and staff members.
  • Reviewed and verified eligibility of patients for benefits coverage.

Technical Support Executive

Asurion
Las Vegas, NV
08.2016 - 01.2022
  • Provided technical support to customers via phone, email and online chat.
  • Conducted remote sessions using remote access tools to investigate system errors.
  • Trained other team members in resolving complex technical issues that require specialized knowledge or skills.
  • Established continuous improvement initiatives to achieve KPIs.

Education

Associate of Applied Science - Computer Programming

Wiregrass Georgia Technical College
Valdosta, GA

Timeline

Claims Ability Analyst

The Hartford
02.2024 - Current

Eligibility Interviewer

State of Montana DPHHS
02.2023 - 02.2024

Benefit Verification Specialist

Employee Benefit Management Services
11.2021 - 02.2023

Technical Support Executive

Asurion
08.2016 - 01.2022

Associate of Applied Science - Computer Programming

Wiregrass Georgia Technical College

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Crystal Golden