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Customer Service Claims Adjuster

Location:
Merrillville, IN, 46410
Salary:
Open
Posted:
February 20, 2024

Contact this candidate

Resume:

Treseana Collins 219-***-**** ad3sc8@r.postjobfree.com

To Whom It May Concern:

Permit me to introduce my credentials and professional aspirations in seeking employment opportunities with your company.

I am eager to apply my knowledge and interpersonal skills, gained through both my educational studies and personal development, by providing exceptional customer service while being a dependable and trust worthy team player.

Thank you in advance for taking the time to review my application. I have enclosed my resume. I am positive that I possess the qualities and skills you are seeking and would welcome the opportunity to discuss my application in more detail at an interview.

Best regards, Treseana Collins

TRESEANA COLLINS

3887 Brookside Drive

Crown Point, IN 46307 219-***-****

219-***-****

Objective

To obtain a position in the Healthcare field utilizing my knowledge and past experiences.

PROFESSIONAL EXPERIENCE

UNIVERSITY OF CHICAGO, Chicago, IL 11/1/2004 – 7/12/2022

Patient Navigation Coordinator (Patient Experience & Engagement Program

•Facilitate appointments for Donors, Trustees, and Board Members

•Customer Service Skills

•Obtain medical records

•Lodging and travel assistance

•Facilitation of escort patients to appointments

•Rounding on discharge patients

•Knowledge in Epic

Patient Service Representative- PSR (Neurology)

•Patient registration

•Schedules appointments

•Verify insurance information, process insurance updates

•Charge ticket review

•Collect copays and self pays Knowledge in Epic

FIRST COMMONWEALTH, Chicago, IL 1997 - 2003

Dental Claims Adjuster

•Handled 13 contracts on a daily basis.

•Interacting with eligibility department for approval of claim

•Produced over 100 claims daily

•Audits check for accuracy in claims checks

FAMILY FIRST HEALTHCARE, Chicago, IL

Medicare Claims Adjuster

•Applied state laws to Medicare claims

•Pre-approved hospital claims

•Applied customer service to providers daily

•Conducted Medicare Health Plan Seminar

1995 - 1997

CIGNA HEALTH CARE, Chicago, IL

1987 - 1994

Claims Approver

•Provided services for a variety of group benefits plans. Major medical, Dental, vision, PPO coverage, HMO and Medicaid

•Achieved production levels that involved handling over 100 claims daily

•Maintained and accuracy level of and above

•Received bonuses for high quality

•Handled verbal and written communication to physicians and clients

TRAVELERS INSURANCE, Matteson, IL 1981- 1985

Dental Claims Approver

•Processed dental claims with the use of IBM 34 Displayer Attained full knowledge of dental terminology

•Handled numerous accounts meeting daily requirements.

EDUCATION

Ivy vocational Tech College, Gary, IN - 1983

CERTIFICATIONS & LICENSES

Key Punch, Data Processing

PROFESSIONAL DEVELOPMENT

Medical Terminology

TECHNICAL SKILLS

Faxing, Word Processing, Microsoft Office, Epic, Cadence, Oracle, Typing



Contact this candidate