Sha'Daya Chance
Paterson
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
7
7
years of professional experience
Work History
Claims Processing Specialist
Imagine360
10.2022 - 05.2023
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Followed up with customers on unresolved issues.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
Reimbursement Specialist
Novartis Pharmaceuticals
03.2022 - 09.2022
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Prevented delays and claim denials by correcting information prior to submission.
Claims Analyst
ConnectiveRx
07.2016 - 01.2022
- Viewed reports regularly to make sure processing was conducted efficiently.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Examined claims forms and other records to determine insurance coverage.
- Resolved complex, severe exposure claims using high service oriented file handling.
Education
Bachelor of Science - Criminal Justice
Berkeley College
Woodland Park, NJ05.2016
Skills
- Policy Requirements and Eligibility
- Spreadsheet Tracking
- Data Entry Software
- Payment and Investigation Escalations
- Prior Authorization Processing
Timeline
Claims Processing Specialist
Imagine360
10.2022 - 05.2023
Reimbursement Specialist
Novartis Pharmaceuticals
03.2022 - 09.2022
Claims Analyst
ConnectiveRx
07.2016 - 01.2022
Bachelor of Science - Criminal Justice
Berkeley College
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