Medical Claims Adjuster
Resume:
Melissa Mills
Lexington, KY *****
***********@*****.***
Professional Summary
Claims Adjuster with deep knowledge of Medical claims industry. Solid abilities in developing objectives and strategies to settle HCFA and UB claim Forms. Excellent skills compiling, coding, categorizing and auditing information to process claims. Excellent communication skills. multitasking, and dependable
Work History
January 2020 - Current
Conduent - Lexington
Medical claims adjuster
Maintained strict compliance with HIPAA regulations, safeguarding patient privacy throughout the claim evaluation process.
Managed large volume of medical claims on daily basis.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Evaluated medical claims for accuracy and completeness and researched missing data.
Followed up on denied claims to verify timely patient payment and resolution.
Assessed medical claims for compliance with regulations and corrected discrepancies.
December 2018 - August 2019
Credit solutions LLC - Lexington
Medical debt collector
Maintained strict adherence to HIPAA guidelines while handling sensitive patient information during the collection process, ensuring confidentiality at all times.
Improved patient satisfaction by providing compassionate and empathetic assistance in resolving their medical debts.
Conducted thorough research on debtor assets to inform strategic approaches to recovery efforts and maximize potential returns for clients.
Provided exceptional customer service during the debt collection process by addressing patient concerns, answering questions, and offering support in finding viable financial solutions.
March 2016 - August 2017
All American Stand - London, KY
Server
Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
Coordinated with kitchen staff to ensure timely delivery of orders, resulting in satisfied customers.
Handled cash transactions accurately, contributing to balanced daily financial reports.
Assisted in training new hires, providing guidance on restaurant standards and best practices.
Collaborated with team members during busy shifts for efficient workflow and excellent guest experiences.
Skills
Fast learner
Dependable
Organized
Time Mangement
Attention to detail
multitasker
Team player
Loyal
Education
May 1993
James A Cawood Harlan, KY
Diploma
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