URSULA WRIGHT
Medical Claims Processor Examiner
Hope Mills,NC
Summary
Claims Processor at United HealthCare with expertise in resolving discrepancies and optimizing claims outcomes. Demonstrated ability in claims processing and customer service, ensuring timely reimbursements and compliance with regulations. Strong problem-solving skills and effective communication enhance operational efficiency and patient satisfaction. Recognized for thoroughness, ethical service, and building rapport with clients.
Overview
34
34
years of professional experience
Work History
Claims Processor,
United HealthCare
Minneapolis, MN
02.1998 - 05.2025
- Processed Medicare Part A and B claims efficiently to ensure timely reimbursements.
- Conducted medical claims research to resolve discrepancies and optimize outcomes.
- Reviewed provider contracts for compliance and accuracy in billing procedures.
- inquiries and enhance patient satisfaction.
- Adhered to all applicable laws, regulations, and company standards while processing claims.
- Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.
- Executed adjustments on inpatient and outpatient claims to align with regulatory standards.
- Facilitated medical office procedures to improve operational workflow.
- Managed processing of medical claims and adjustments to maintain financial integrity.
- Corresponded with providers regarding any missing or incomplete documentation needed for successful adjudication of claims.
- Documented decisions on each claim based on research findings and applicable benefit plans.
Pharmacy Tech/Cashier Team Lead
Fred’s/Drugs for Less
Hoover, AL
07.1991 - 01.1998
- Executed cash transactions accurately and efficiently.
- Managed filing system to maintain organized records.
- Processed orders promptly to ensure timely fulfillment.
Education
Fayetteville Technical Community College
Fayetteville, NCSkills
- Time management
- Claims processing and resolution
- Problem solving
- Payments posting and reconciliation
- Data entry
- Research skills
- Customer service excellence
- Attention to detail
- Auditing and compliance
- Effective communication
- Problem resolution
- Medical terminology
- Critical evaluation
Claims review
Transactions reconciliation
Insurance regulations
Policy interpretation
Data entry proficiency
Accuracy and precision
Team building
Problem-solving
Critical thinking
Computer proficiency
Documentation
Insurance coverage verification
Electronic authorization processing
Reliability
References
References available upon request.
Timeline
Claims Processor,
United HealthCare
02.1998 - 05.2025
Pharmacy Tech/Cashier Team Lead
Fred’s/Drugs for Less
07.1991 - 01.1998
Fayetteville Technical Community College
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