Claims Processor Senior
Resume:
Rebecca Allen
Rancho Cordova, CA
********@*****.***
Work Experience
Senior Claims Analyst
River City Medical Group/Vivant Health LLC – Sacramento, CA January 2022 – February 2023
Analyze and process health claims for Independent Physician Association (IPA).
CPT Coding
Microsoft Office Suite
o Word – Intermediate
o Excel – Proficient
o Outlook – Intermediate
Coordination of Benefit (COB)
Medicare/ Medi Cal
ICD10 Diagnoses
Professional Claims
Hospital Claims
Claims Analyst
Health Net, Inc/Centene - Rancho Cordova, CA
June 2018 to January 2022
CPT Coding
Microsoft Office Suite
o Word – Intermediate
o Excel – Proficient
o Outlook – Intermediate
Coordination of Benefit (COB)
Medicare/ Medi Cal
ICD10 Diagnoses
High Dollar
Appeals and Grievance
SENIOR CLAIMS PROCESSOR
BLUE SHIELD OF CA
October 2002 to February 2018
CPT Coding
Microsoft Office Suite
o Word – Proficient
o Excel – Proficient
o Outlook – Intermediate
COB claims, Medicare Secondary
Payer (MSP) claims
Medi Cal (HIPD) claims
Processed group restricted (high
security employee) claims
Handled appeals for members and
providers
Answered incoming/ made outgoing
calls to customer, government
partners, collection agencies,
hospitals, and individual
providers
Education
ASSOCIATE OF ARTS in Business Administration
SAN JOAQUIN DELTA COLLEGE
June 1981
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