Tara Young
Champlin,MN
Summary
Results-driven Insurance Claims Specialist with extensive experience at Fairview Hospital, adept at claims processing and policy compliance. Proven ability to enhance workflows and resolve complex billing discrepancies through effective communication and critical thinking. Committed to maintaining confidentiality and delivering exceptional customer service while ensuring accurate claims submissions.
Overview
3
3
years of professional experience
Work History
Insurance Claims Specialist
Fairview Hospital
Minneapolis, Minnesota
02.2025 - Current
- Reviewed insurance claims for accuracy and completeness at Fairview Hospital.
- Processed claims using electronic medical record systems effectively and efficiently.
- Collaborated with team members to streamline claims processing workflows regularly.
- Assisted patients in understanding their insurance coverage and claims process.
- Reviewed customer insurance claims to ensure accuracy and completeness of information.
- Adjusted and claims under close supervision of more experienced claims team members.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Insurance Specialist
Allina
Minneapolis, Minnesota
11.2022 - 01.2025
- Processed insurance claims efficiently for various healthcare services.
- Reviewed patient files to verify insurance coverage and eligibility.
- Communicated with patients regarding insurance inquiries and coverage details.
- Collaborated with healthcare providers to resolve billing discrepancies.
- Maintained accurate records of claims submissions and follow-ups.
- Utilized electronic health record systems for claim processing tasks.
- Reviewed insurance policies to ensure compliance with existing regulations.
- Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
- Ensured that customer data was kept confidential at all times in accordance with applicable laws and regulations.
- Collaborated with carriers to resolve discrepancies in insurance payments.
- Resolved routine and complex issues by performing detailed research.
- Coordinated with other departments within the organization regarding issues related to policy administration.
- Ensured compliance with regulatory requirements in insurance practices.
Education
Associate of Science - Architectural Drafting
Anoka Technical College
Anoka, MN05-1998
Skills
- Claims processing
- Medical billing
- Policy compliance
- Electronic records management
- Customer communication
- Insurance verification
- Time management
- Critical thinking
- Claims investigation
- Professionalism
- Patient contact
- Teamwork skills
- Decision-making
- Claims adjustment
- Billing software
- Payment and investigation escalations
- Customer service
- Claims analysis
- Prior authorization processing
Timeline
Insurance Claims Specialist
Fairview Hospital
02.2025 - Current
Insurance Specialist
Allina
11.2022 - 01.2025
Associate of Science - Architectural Drafting
Anoka Technical College
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