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Administrative Assistant Claims Examiner

Location:
Bronx, NY
Posted:
November 08, 2023

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Resume:

MEAGHAN K. FERGUSON

MEDICAL CLAIMS EXAMINER

CONTACT

*******.**********@*****.***

201-***-****

The Bronx, New York

EDUCATION

BS in Legal Studies

Minor in Criminal Justice

Quinnipiac University

May 2019

Hamden, CT

SKILLS

Microsoft Office

Westlaw

Relativity

MaxxVault

ESL

WORK EXPERIENCE

Medical Claims Examiner

RMTS, LLC

Jul 2021 - July 2023 / Jersey City, NJ

Responsible for multiple groups and paying all eligible insurance claims Review group plan documents, contracts, underwriting correspondence and disclosure Examine claimants group enrollment and eligibility Ensure claims incurred and paid within the current contract period Seek all CPT, ICD and Revenue Codes for accuracy relating to the claim Daily communication with third party administrators Administrative Assistant

Riker Danzig, LLP

Mar 2020 - Jul 2021 / Morristown, NJ

Maintained and prepared legal documents

Conducted research in legal matters (Environmental) Managed all administrative responsibilities in the office during the Covid-19 Pandemic Assisted attorneys with monthly billing and recorded all billable and non-billable hours Client services/project coordinator assistant

RVM Enterprises, Inc

Jun 2019 - Feb 2020 / New York, NY

Assisted project coordinator teams, project management teams and human resources with daily and long term tasks

Coordinated recruitment efforts for upcoming review projects Assisted clients and ran data through eDiscovery software (Relativity) Intern for Family Specialist

Regional Children's Probate Court

Sept 2018 - May 2019 / New Haven, CT

Assisted family case conferences, documented and recorded results Coordinator for attorneys and families schedules, and observed hearings at the probate court

Composed and mailed letters to everyone involved in each case such as attorneys, social workers and families

Intern for Clinical Psychologist

Morris County Correctional Facility

Jun 2018 - Aug 2018 / Morristown, NJ

Liaison for current and new inmates; interacted with inmates and recorded medical history; participated in meetings with correctional officer and social workers



Contact this candidate