Ty’Realle McDaniel
Goodyear,AZ
Summary
Detail-oriented Claims Specialist with 3+ years of experience in healthcare claims processing, data analysis, and insurance verification. Skilled in ICD-10, CPT, and HCPCS coding, denial resolution, and high-volume caseload management. Strong background in maintaining HIPAA compliance, improving claim accuracy, and meeting productivity benchmarks in fast-paced environments. Typing speed of 65 WPM with proficiency in Microsoft Excel and medical billing systems.
Overview
4
4
years of professional experience
Work History
Claims Specialist
IntouchCx
11.2024 - 03.2025
- Processed and reviewed medical claims in accordance with payer guidelines and company policies.
- Investigated and resolved denied or rejected claims to improve reimbursement turnaround time.
- Maintained accurate documentation of claim activity while ensuring HIPAA compliance.
- Managed a high-volume workload with strong attention to accuracy and deadlines.
Claims Data Analyst
MTM-Healthcare Services-Public Transit Services
08.2022 - 11.2024
- Analyzed healthcare claims data to ensure accuracy, completeness, and regulatory compliance.
- Reviewed ICD-10, CPT, and HCPCS codes to support proper claim adjudication.
- Identified discrepancies and collaborated with internal teams to resolve billing issues.
- Improved workflow efficiency by maintaining organized tracking and documentation systems.
Customer Service Representative
Concentrix
08.2021 - 08.2022
- Handled high-volume inbound inquiries while maintaining service and productivity metrics.
- Documented customer interactions accurately within internal systems.
- Resolved account issues efficiently while meeting quality assurance standards.
Education
High School Diploma -
Union High School
Tulsa, OK05.2017
Skills
Medical Claims Processing
Claims Adjudication
ICD-10, CPT, HCPCS Coding
Insurance Verification
Eligibility Determination
Claim Denial Resolution
Payment Research & Resolution
High-Volume Caseload Management
Data Entry & Documentation
Microsoft Excel
HIPAA Compliance
65 WPM Typing Speed
Timeline
Claims Specialist
IntouchCx
11.2024 - 03.2025
Claims Data Analyst
MTM-Healthcare Services-Public Transit Services
08.2022 - 11.2024
Customer Service Representative
Concentrix
08.2021 - 08.2022
High School Diploma -
Union High School