Customer Service Medical Claims
Resume:
Cynthia E. McCauley
**** ********* *****, ****** ****, IL 60487, 708-***-****, ad20ad@r.postjobfree.com
Objective
To obtain a position in a medical insurance orientated company, which offers opportunity for growth while becoming a valuable asset to the company.
Experience
Medical Claims Processor, Lori Leipold. M.D.
Orland Park, IL – 2010 – Present
Process medical claims.
Handle a collection of various types of claims properly.
To guarantee full records, review, and update case files.
Checking medical codes for diagnosis codes / procedure codes.
Calling insurance companies for prior authorization.
Medical Benefits Specialist, United Healthcare
Matteson, IL - 1995 - 2009
Directly responsible for efficiently servicing key accounts.
Processing Medical Claims related to customer service activities.
Accurately investigating insurance coverage.
Assist providers and customer service personnel with various responsibilities.
Responsible for training new hires for processing claims.
Responsible for onboarding new hires.
Medical Claims Adjuster, Teamsters Union Local 705 I.B.T
Chicago, IL - 1987 – 1995
Processed major medical health and welfare claims.
Calculated and printed medical benefit checks.
Responsible for maintaining and updating assigned member accounts.
Handled high volume of telephone calls.
Answered members questions regarding their benefits and claims.
Education
Victor J. Andrew
Tinley Park, IL – 1983 - 1987
High School diploma
Summary
24 total years of experience in medical benefit claims processing.
12 years specific to servicing large corporate accounts.
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