Rose Hughes
Claim Administrator
Oxford,MA
Summary
Dynamic professional with a proven track record at Coastal Medical Billing, adept in claims processing and fostering effective communication. Skilled in Microsoft Office and demonstrating exceptional attention to detail, I consistently prioritize tasks for timely completion, enhancing operational efficiency.
Overview
18
18
years of professional experience
1
1
year of post-secondary education
Work History
Claims Administrator
Coastal Medical Billing
10.2019 - Current
- Balanced workload effectively, prioritizing tasks to ensure timely completion of all claim-related responsibilities.
- Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
- Conducted thorough investigations into potentially fraudulent claims, reducing company losses.
- Ensured timely claim payments by diligently monitoring deadlines and following up on outstanding documents.
Medical Billing Clerk
Edward M Kennedy Community Health Center
05.2019 - 10.2019
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Developed strong working relationships with insurance companies, fostering effective communication for swift resolution of claim issues.
Cytology Prep Technician
UMASS Memorial Healthcare
01.2007 - 05.2017
- Assisted in the evaluation of emerging technologies relevant to the field of cytology, ensuring the laboratory maintained a cutting-edge approach to sample analysis.
- Optimized workflow management through careful scheduling of tasks based on priority level and urgency of analysis required.
- Enhanced team collaboration through active participation in departmental meetings and sharing insights into best practices for cytology prep work.
- Established effective communication channels with medical staff, ensuring accurate patient information was relayed consistently.
Education
Medical Billing And Coding Certification - Medical Billing And Coding
Porter And Chester Institute
Worcester,MA 07.2018 - 04.2019
GED -
Shriver Job Corps
Ayer, MA 05.2001 -
Skills
Microsoft office
Claims auditing
Claims processing
Deadline oriented
Follow-up skills
Legal compliance
Insurance Information verification
Proficient in HIPAA practices
Data entry
Attention to detail
Multitasking
Time management abilities
Timeline
Claims Administrator
Coastal Medical Billing
10.2019 - Current
Medical Billing Clerk
Edward M Kennedy Community Health Center
05.2019 - 10.2019
Medical Billing And Coding Certification - Medical Billing And Coding
Porter And Chester Institute
07.2018 - 04.2019
Cytology Prep Technician
UMASS Memorial Healthcare
01.2007 - 05.2017
GED -
Shriver Job Corps
05.2001 -