Summary
Overview
Work History
Education
Skills
Timeline
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SONJA HOSKINS

Toledo,OH

Summary

Effective Medical Claims Adjudicator with strong claims processing background. Interacts with Provider Relations, Provider Inquiry, Network Management and Provider Database Management to discuss claim status or claim denials for all lines of business. Responsible for all areas of claims processing including, but not limited to, front end pends, post payment adjustments and provider refunds and receivables.

Overview

24
24
years of professional experience

Work History

Health Insurance Claims Adjudicator

Paramount Healthcare
05.2000 - Current
  • Maintain compliance with industry regulations and company policies while adjudicating health insurance claims.
  • Manage a high volume of claims daily, consistently meeting deadlines and maintaining a low error rate.
  • Evaluate medical claims for accuracy and completeness and researched missing data.
  • Maintain knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.

CEO

HIT PROPERTIES LLC
08.2021 - Current
  • I am currently the owner of two properties, one in which I have been renting out to tenants since 2013. My responsibilities as a landlord is to find suitable tenants, manage and maintain the property, adhere to health and safety standards and manage rents and security deposits,

Education

CERTIFCATE OF COMPLETION - REAL ESTATE

HONDRUS COLLEGE OF REAL ESTATE
Maumee, OH
05.2023

DIPLOMA - MEDICAL BILLING AND CODING

Herzing University
Dearborn, MI
08.2010

Skills

  • Health Insurance Industry Knowledge
  • Thorough Claims Reviews
  • Electronic Claims Processing
  • Medical Terms and Procedure Knowledge
  • Medical Billing and Coding
  • Authorize Payments

Timeline

CEO

HIT PROPERTIES LLC
08.2021 - Current

Health Insurance Claims Adjudicator

Paramount Healthcare
05.2000 - Current

CERTIFCATE OF COMPLETION - REAL ESTATE

HONDRUS COLLEGE OF REAL ESTATE

DIPLOMA - MEDICAL BILLING AND CODING

Herzing University

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SONJA HOSKINS