Stephanie Monk
Camarillo,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking and passionate job seeker with strong organizational skills eager to secure this position. Ready to help team achieve company goals.
Overview
19
19
years of professional experience
Work History
Health/Dental Claims Examiner
Anthem, Inc/Elevance Health
11.2012 - Current
- Responsible for re-keying, processing and/or adjusting health claims in according to claims policies and benefits.
- Provide legal support/retrieving phone calls, correspondence, claims benefits or any documentation needed for claims submitted by DOI for review.
- Analyze and adjudicated claims to ensure accurate payment.
- Determining whether members have additional medical coverage and coordinates claims processing with other carriers and TPA's as necessary.
- Consistently meet established productivity, schedule adherence and quality standards.
- Provide thoroughly review, analyze and research complex healthcare claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. Attention to detail is to ensure accuracy which will support timely processing of the member's claim.
Senior Clerk
ANTHEM BLUE CROSS, Supplement
03.2007 - 07.2012
- In charge of reporting everyday work inventory using the established formats and procedures
- Extracts, sorts, batches incoming documents to be sent out for scanning to appropriate system (Mainframe, Ultera & Filenet)
- Routes incoming mail to the appropriate queues in timely manner (Med Supp, Med Adv, and Part D)
- Auditing Med Supp application enrolled by membership department
- Filing documents, application, report to the designated area
- Other special projects assigned by manager.
Data Entry Clerk
KELLY SERVICES/J.D POWER & ASSOCIATES
09.2006 - 03.2007
- Transferring all information to the system timely and accurately from the survey sent by the consumer regarding the product/services they bought.
Administrative Assistant
EAB INSURANCE BROKERS, INC
05.2004 - 04.2006
- Monitoring of expiring insurance policies of the existing account; preparing renewal advises
- In charge of processing of insurance claims on behalf of the clients
- Assisting in the recording of accounting transactions
- Sorts, labels and filing documents in designated area
- Prepping invoices
- Requesting insurance quotation in behalf of the client based on what the client needs
- Other project assigned.
Education
Bachelor of Science - Business Administration, Management
Far Eastern University
Manila, Philippines04.2003
Skills
- Administrative: Communicate effectively, provide excellent customer service, manage plans for programs or projects, distribute correspondence or mail, enter time sheet information, examine files or documents to obtain information, file or retrieve paper documents and related materials, follow safe waste disposal procedures, greet customers, guests, visitors, maintain equipment service records, maintain records, reports, or files, maintain relationships with clients
- Interpersonal Skills – Able to get along well with co-workers and able to accept supervision
- Teamwork - Able to work with co-workers to finish task accurately and in timely manner
- Insurance Terminology
Insurance Industry Experience
Technical Skills:
- MAINFRAME, MICROSOFT EXCEL, MICROSOFT OUTLOOK, MICROSOFT WORD, ULTERA, VENTANIX, FILENET
Timeline
Health/Dental Claims Examiner
Anthem, Inc/Elevance Health
11.2012 - Current
Senior Clerk
ANTHEM BLUE CROSS, Supplement
03.2007 - 07.2012
Data Entry Clerk
KELLY SERVICES/J.D POWER & ASSOCIATES
09.2006 - 03.2007
Administrative Assistant
EAB INSURANCE BROKERS, INC
05.2004 - 04.2006
Bachelor of Science - Business Administration, Management
Far Eastern University
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