Shana Dicho
Summary
Experienced Medical Claims Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 9 years of experience and willingness to take on any challenge.
Overview
9
9
years of professional experience
Work History
Claims Specialist II
Providence Health Plan
07.2015 - Current
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Checked documentation for accuracy and validity on updated systems.
- Calculated adjustments, premiums and refunds.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Proven ability to learn quickly and adapt to new situations.
Optician Assistant
Beaverton Vision World
01.2015 - 07.2015
- Assisted with insurance questions, eligibility, and prior authorizations of medications and glasses.
- Instructed patients on contact lens insertion and removal and lens care guidelines.
- Maintained inventory levels and accurate records of contact lenses and eyeglass frames.
- Educated patients and relations on ocular health and safety, promoting good eye care.
- Operated and maintained lensometers, refraction units, auto-refractors, and visual field analyzers for patient testing.
- Input patient information and exam findings into electronic medical records system to facilitate accurate record-keeping.
- Filled and dispensed eyeglass prescriptions, fitting frames, lenses and contact lenses for comfort and convenience.
- Conducted pre-screenings and preliminary tests for patients before they saw the optometrist, leading to more efficient appointments.
- Conducted pretest procedures to gather data before exam and make eye appointments more efficient and productive.
Education
Associate of Applied Science - Medical Office
Heald College
Portland, OR07.2012
Skills
- New Policies Processing
- 10-Key Touch
- Information Verification
- Medical Terminology
- Data Entry
- Claims
- Microsoft Office
- Claims analysis
- Facets Software Proficiency
Timeline
Claims Specialist II
Providence Health Plan
07.2015 - Current
Optician Assistant
Beaverton Vision World
01.2015 - 07.2015
Associate of Applied Science - Medical Office
Heald College
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