I have 30 years experience in insurance health claims with The Epoch Group LC aka LaHood & Assoc LC. 25 years of claims examining, processing & adjusting claims. I was also a Team Lead, Supervisor & Manager for Claims Acquisition ( data entry of claims, provider maintenance, eligibility. Basically preparing claims for processing).
The past 6 years I have been a Patient Service Rep in office as well as remote. I also was a Team Lead & Report Specialist for RCP/Avadyne Health.
verifying electronic data transfers, loading electronic files, transferring data via ftp amp; sftp sites, ability to run custom program reports, customer service via phone as well as email for IT operations (daily, weekly & monthly) processes.
Also provide customer service as Help Desk Agent for our newly implemented IT Help Desk utilizing the Footprints ticketing system of which I helped implement.
Daily support and trouble shooting for various systems (including but not limited to: WindowsXP, Excel, Active Directory, Security Requests, RIMS, Citrix, ECS Claims Exchange) for approximately 150+ users including internal employees, home based employees and external clients.
Claims Examiner, Processor, Adjuster, Team Lead
Claims Acquisition Team Lead, Supervisor, Manager
CLAIMS ADMINISTRATION: 10 key, data entry, filing, verifying claims, pricing claims, provider maintenance for claims, claims processing, customer service for claims, strong communication skills, Excel, Word, Outlook.
RIMS program experience: CBE, CEA, CA, CIL, Spooler, Custom Program: Reports, PM, HI, Phone, PCR, PFSQ, PNF.
10 key, Active Directory, balance, Citrix, strong
communication skills, CA, Conflict Resolution, clients, customer
service, CUSTOMER SERVICE, customer service training, data entry, email, filing, ftp, Help Desk, Team
Building, Team Leader, Teambuilding, Meditech, meetings, Excel, Exchange, Outlook, Windows XP, WindowsXP, Word, organizing, payroll, PCR, personnel, pricing, processes, RIMS, Supervisor, Phone, trouble shooting, Troubleshooting
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