Joene Herbert

Claims Processor

ad2w6t@r.postjobfree.com • 717-***-****

Mechanicsburg, PA 17055

Outcome-driven professional with extensive experience evaluating, verifying, and processing wide range of medical insurance claims. Proven track of ensuring compliance with established policies and procedures, while developing higher quality standards. Demonstrated expertise in examining/verifying information, performing data entry, and preparing comprehensive reports. Proficient in leveraging industry-specific software and tools for claims management. Adept at providing outstanding customer service for optimum client satisfaction and retention.

Areas of Expertise

Claims Processing

Regulatory Compliance

Quality Assurance

Data Accuracy & Analysis

Documentation & Reporting

Transactions Reconciliation

Cross-functional Collaboration

Informational Releases

Relationship Building

Professional Experience

Highmark, Inc., Camp Hill, PA Dec 2000 – Aug 2023

Associate Claims Processor

Processed claim, entered data, and created reports by using specialized software. Facilitated onboarding of new claims processors to familiarize with company’s policies and procedures. Analyzed accuracy and quality of data while entering into agency management system. Monitored multiple claims processing procedures, such as Medicaid of Delaware claims, Independence Blue Cross claims, BlueCard claims, facility claims, dental claims, MN claims, and West Virginia claims. Conducted annual performance evaluation to assess accuracy, quality of work, as well as adherence to work habits, including attendance and management of PTO.

●Ensured compliance with regulations and guidelines for claims processing, maintaining high standards of quality and adherence to industry standards.

●Met set claims processing deadlines by managing workload and priorities.

●Implemented process improvement initiatives, enhancing operational efficiency and effectiveness.

Education

Graduation Diploma in Medical Claims Billing

Computer Learning Network, Mechanicsburg, PA

Graduation Diploma: Medical Billing

Thompson Institute, Harrisburg, PA