Medical Claims Processor resume example with 17+ years of experience
Ā Dedicated and focused Administrative AssistantĀ who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority.Highly effective at handling confidential information and identifying system improvements with ease. Committed to delivering high quality results with little supervision.
- Excellent communication skills
- Strong interpersonal skills
- Customer service-oriented
- Critical thinker
- Claims appeal procedures
- Filing and data archiving HIPAA compliance
- Billing/coding
- Self-directed
- Microsoft Office proficiency
- Certified in 10-key
- Computer repair
- Operating SystemĀ
- updatingĀ
- Data recovery
- Network and wireless troubleshooting
- Virus, spyware, and adware removal
- Build custom laptops and PCs to fit your needs
- Compress andĀ
- Download DataĀ
- Coding and billing tools for ICD-10-CM/PCS, CPT, HCPCS
- Medical terminology
- Preparation of invoices for procedures rendered
- Medicare, Medicaid, and the regulations enforced under the Health Insurance Portability and Accountability Act (HIPAA).
Bogota, NJ, 04/2011 - 10/2017 āāA claims network where a doctor or hospital sends claims is not the same as insurance. If your health insurance uses this network, the network processes the claim from your doctor, hospital, or other provider, according to the network agreement (which specifies how much is paid for each medical service, what medical codes are used, etc), and sends it to your insurance company or plan administrator for payment.
Home, KS, 01/2006 - 02/2011 Excelled in exceeding daily credit card application goals.
Developed highly empathetic client relationships and earned reputation for exceeding weekly quotaĀ
Cross-trained and provided back-up for other customer service representatives when needed.
Managed quality communication, customer support and product representation for each client.
Worked under strict deadlines and responded to service requests and emergency call-outs.
City, STATE, 03/2000 - 05/2006
Sorted 1st class and bulk mail by carrier scheme for carrier route delivery, Assisted customers with package fare, Ā Deliver confirmation, tracking, insurance, Priority and Customs,Ā Money orders, Ā POBoxes, Change of address, Ā Mail holds, Ā Retrevial of collection boxes for next day processing.Ā
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Resume Overview
School Attended
- Everest College
- Heritage College of Health Careers
Job Titles Held:
- Medical Claims Processor
- Senior Customer Service Representative
- Mail Sorter Clerk
Degrees
- Associate of Applied Science
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