Data Entry Support Coordinator

Damian Crockett

CLAMS ANALYST, CSR, SUPPORT COORDINATOR, AND ADMINISTRATION

Bakersfield, CA 424-***-**** *************@*****.***

Objective

To pursue a challenging role as a CSR, Support Coordinator, Data Entry, Claims Analyst, or Administrator in a dynamic and innovative organization, where I can utilize my technical and analytical skills.

Experience

Blue Shield Clinical Support Coordinator 2022-2024

Answer a high volume of phone Inquiries and load faxed authorizations.

Support to Advanced/Specialist CSC, assign initial approved days or triage to nurses.

Data entry including authorization forms, high-risk member information, and verbal HIPPA authorization information for case creation.

Research member eligibility/benefits and provider networks.

Send referrals to Case Management as appropriate.

Process hospital admits.

Centene Claims Analyst 2019-2024

Medical claims processing.

Open assignment of 210-250 professional and facility medical claims stuck in pre-payment review queue known as PPRD.

Review the code list for the reason the claim is stuck and fix the issue and release the claim.

Verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility.

Foundation FCC Member Services Team Member 2021-2023

Manages administration, communication, and coordination with internal departments.

Handles inquiries related to benefits and eligibility in a professional, resourceful, and empathetic.

Performs research using available resources and routes calls to the appropriate resources.

Builds and cultivates relationships internally and externally where appropriate, acts as

organizational brand ambassador as needed and provides business development support and input where there is opportunity.

Education

Sheldon High School 2008-2012

High School Diploma

UC Davis School of Medicine 2016-2018

Medical/Billing & Coding Specialist Certificate Program

Skills & Abilities

Claims Processing

Medical Terminology

HIPAA Compliance

Medical Billing

Medical Records

ICD/CPT Codes

CSR (8+Years)

Management (3+Years)

Excel

Communications(5+Yrs)

Salesforce (6+Years)

Admin Support (4+Years)

Zendesk

Collections

Scheduling

EMR Systems

Analysis Skills

Data Entry (6+Years)

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