STEPHANIE DAILEY
EDMORE,MI
Summary
Professional claims analyst with proven track record in evaluating, processing, and resolving insurance claims. Strong focus on team collaboration and adaptability, ensuring seamless operations and optimal outcomes. Highly skilled in data analysis, risk assessment, and customer service, consistently delivering reliable and efficient results. Known for excellent problem-solving abilities and maintaining high standards in all tasks.
Overview
26
26
years of professional experience
Work History
Claims Analyst 1
University of Michigan Health Plan
10.2023 - Current
- Responsible for researching, monitoring, and maintaining claims, for accuracy, adjustments, workflow queues, and pending claims status
- Monitor PHP-assigned claims queues daily and ensure timely and accurate processing and turn-around-time goals are met
- May assist in testing efforts to ensure accurate claims processing related to system upgrades and new and modified programs, vendors, and processes
- Working with external partners and vendors to resolve claims issues
- Research simple claim adjudication issues
- Monitor claim system performance related to benefits, COB, subrogation, providers, and agreement set up
Insurance Billing Specialist
Sparrow Hospital
07.1998 - 10.2023
- Prepare medical billing claims to send to Insurance companies for payment of medical claims
- Contact insurance companies to discuss claims and claim payment
- Contact patients to obtain information for billing, update insurance information on the account, research denials on accounts and resolve billing issues, approve insurance companies request for discounts, scan, copy and fax documents
Education
Associate in Science - Business Management
Davenport College
Alma, Michigan06.1997
Diploma -
Central Montcalm High School
Stanton, Michigan01.1991
Skills
- Claims
- Claims analysis
- Interpersonal and written communication
- Policy interpretation
- Claim investigation
- Claims review
- Computer skills
- Decision-making
- Team collaboration
References
Available upon request
Timeline
Claims Analyst 1
University of Michigan Health Plan
10.2023 - Current
Insurance Billing Specialist
Sparrow Hospital
07.1998 - 10.2023
Diploma -
Central Montcalm High School
Associate in Science - Business Management
Davenport College
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