Data Analyst Medical Claims
Resume:
Cynthia Green
Medical Data Analyst
***********@*****.***
Lansing, MI
Considerable experience with analyzing facility and professional medical claims for payment or denial, as well as electronic data interchange (EDI). Launched HIPAA training, advised consultants during system upgrades, and communicated with other departments, billers, and health plans for seamless training on state updates. Also familiar with medical billing and coding procedures and guidelines.
Work History
Education
2021-2022
Customer Care Specialist AmeriBen TPA
Resolved members and providers calls regarding deductibles. Verified benefits for varies groups of employees and followed up when necessary to ensure customer satisfaction. Remote assignment contracted with NTT DATA.
2020-2021
Trinity Health Denial Management Specialist
Contacted commercial carriers regarding outstanding charges, and billing issues. Meet the denial management standards, while adhering to the policy and procedures.
2000-2014
Molina Healthcare of MI Claims Supervisor
Encouraged HIPAA security and privacy rules according to the state and federal guidelines. Overseen the daily workflow of inventory for the Florida Marketplace product, addressed audit reports for payment errors prior to check runs, verified timesheet accuracy via Kronos, addressed insubordinate issues, and attended weekly management meetings, and team building sessions.
2019-Current
DeVry University
Medical Billing and Coding
Health Information Management
Online GPA 3.00
Skills
MEDICAL RECORDS ABSTRACTION
ICD-9/10CM/PCS
CAC and CPT CODING
BILLING AND FOLLOW-UP
EHR SPECIALIST
PROBLEM SOLVER
CRITICAL THINKER
Contact this candidate