Experience in Claims Processor. Skilled at accurately reviewing and processing claims while adhering of HIPPA regulations. Skilled in using medical claims processing software and databases to input and track claims, ensuring accurate documentation and resolution. Excellent problem-solving, organizational, and time management abilities, combined with a commitment to providing high-quality service and maintaining confidentiality. Proven ability to resolve discrepancies, communicate effectively with healthcare providers and patients, and manage claims in a timely manner.
Professional Skills
Senior Client Claims Processor - 2 years & 1 months
Customer Service Associate – 1 year & 2 months
Customer Service Representative for Medicare – 2 years &
7 months
Client Industries
Health Insurance
Healthcare Providers
Healthcare Hospitals
Third Party Administrators
Software Expertise
Athenahealth
RingCentral
Zendesk
MS Office
Google Suite
Zoom
Experience: 2 - 5 years
Handles insurance claims for medical services, ensuring they are accurate, complete, and comply with regulations and policies. A role, mix of technical knowledge, attention to detail, and strong communication abilities.
Experience: 2 - 5 years
Provide a positive experience for claimants by being helpful, empathetic, and responsive. Handle complaints or appeals professionally and constructively.
Experience: 2 - 5 years
Responsible for confirming a patient’s or client’s insurance coverage, eligibility, and benefits. These skills ensure accurate billing, reduce claim denials, and enhance customer satisfaction. Below are the key skills for insurance verification.
Experience: 2 - 5 years
Clearly explain decisions to claimants and stakeholders. Collaborate effectively with policyholders, medical providers, and insurance adjusters. Maintain professional and empathetic communication during challenging interactions.
Experience: 2 - 5 years
Resolve disputes or conflicts regarding claim outcomes. Find creative solutions for complex or unusual claims.
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