Customer Service Medical

Brigitte DeHart

**** ****** **. #**** ******, Tx.75231

214-***-**** ************@*****.***

Objective

A Senior Benefit Claims Analyst position requiring the payment, coding, or

billing of medical bills.

Strong organizational skills, with a passion of assisting people in the

understanding of insurance.

Skills Summary

. Thirty years experience paying group medical insurance claims.

. Strong communication skills.

. Analyzed and diagnosed all claims.

Skills and Experience

CLAIMS PROCESSOR

. Processed claim for payment.

. Achieved daily and monthly quotas.

. Organized daily and monthly mail counts.

. Diagnosed fraudulent claims.

. Verification of benefits.

. Coordination of benefits with third parties.

CUSTOMER SERVICE

. Guided clients through claims process.

. Resolved claim issues.

. Negotiate claim issues with insurance provider.

ADMINISTRTIVE SUPPORT

. Conducted scheduled meetings with client.

. Adhered to state laws of insurance.

. Met strict deadlines.

. Performed pending and backlog statistics.

Work Experience

Provident Life and Accident

Houston, Texas

Processed group medical claims

Kept track of mail count

Met daily quotas

Third Party Administrators

Houston, Texas

Paid group insurance claims via a third party

Customer service for insured

Filed pending claims

Met daily quotas

Claims Service Resource Group

Houston, Texas

Traveled to major insurance companies paying group medical claims

Filed pending claims

Met daily quota of 100 claim

Claim Net

Orange, California

Traveled the United States to major insurance companies paying group

medical claims Met daily quota of 100 claims

Insurance Overload Service

Houston,Texas

Worked as a temporary paying group medical insurance claims

St. Davids Hospital

Austin,Texas

Filed group medical claims for the hospital

Met daily quota

Filed pending claims

Spring Branch Memorial Hospital

Houston,Texas

Admitted patients to hospital

Verified insurance benefits and effective dates

Education

Texas Women's University Denton, Texas

Nursing 1977-1978

El Centro Community College Dallas, Texas

Associates in Science 2011-2014

Penn Foster Scranton, Pennsylvania

Certificate in Medical Coding & Billing Graduation

April 2015

Provident Life and Accident Houston, Texas

Trained in actual claims processing 1980

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