Claims Analyst Patient Care

SEJLA PAJAZETOVIC

*** ** *** *** *****, Waukee, IA 50263 · 515-***-****

*****.***********@*****.***

CLAIMS ANALYST

I possess a strong background in medical billing, auditing and claims support, with over fifteen years of experience in the medical field. My communication, leadership skills and strong work ethic help improve/maintain billing procedures and reduce A/R days within teams. I exhibit excellent listening skills and enjoy being a leader within my team. I strongly believe including people and being an active listener improves quality of work.

SKILLS

TEAM PLAYER, HANDS ON LEARNER AND TEACHER, EAGER TO LEARN AND EXPAND MY KNOWLEDGE

ENJOY CREATING A POSITIVE WORK ENVIRONMENT

LEADERSHIP

RESPONSIBILITY

POSITIVITY

BILINGUAL

TIME MANAGEMENT

WORK EXPERIENCE

MAY 2022-CURRENT

TRENDHEALTH PARTNERS – CLAIMS ANALYST

AUDITING AND RECOUPMENT

CLAIMS SUPPORT

DATA ANLYTICS

COMMUNICATION AND COLLABORATION

RISK MANAGEMENT

SEPTEMBER 2020-MAY 2022

UCS HEALTHCARE-BILLING SPECIALIST

UPDATING CLIENT INSURANCE INFORMATION

REVIEWING INFORMATION TO ENSURE ACCURATE BILLING IS COMPLETED

PAYMENT POSTING

REVIEWING EXCEL REPORTS

SCHEDULE SCRUBBING

APRIL 2017-SEPTEMBER 2020

UNITY POINT HEALTH CORPORATE-BILLING SPECIALIST

UPDATING INSURANCE INFORMATION.

VERIFYING ELIGIBILITY

CORRECTING BILLING STATUS ON ACCOUNTS TO INSURE CLEAN BILLING

WORKING DENIALS

UPDATING REQUIRED INFORMATION FOR PAYMENTS FROM INSURANCE COMPANIES

SEPTEMBER 2014 – APRIL 2017

UNITYPOINT HEALTH - PATIENT CARE TECHNICIAN

DES MOINES, IA

ASSISTING CLIENTS WITH DAILY ACTIVITIES IN PSYCH DEPARTMENTS DURRING REHABILITATION TIME WHILE DETOXING.

ASSISTED LEADERSHIP WITH TIME KEEPING AND SCHEDULING IN KRONOS.

IN CHARGE OF OFFICE SUPPLY MANAGEMENT.

JANUARY 2010 – SEPTEMBER 2014

FOUNTAIN WEST HEALTHCARE CENTAR- CERTIFIED NURSING ASSISTANT

WEST DES MOINES, IA

ASSISTING RESIDENTS WITH DAILY LIVING ACTIVITIES, BATHING, DRESSING, SERVING FOOD.

DAILY ACTIVITIES TO HELP REHABILITATE PATIENTS AFTER SURGICAL PROCEDURES.

EDUCATION

2003-2006

URBANDALE HIGH SCHOOL

2008

PATIENT CARE TECHNICIAN

DMACC, 150 Hours completed

2009

MEDICAL ASSISTANT

COMPLETED MEDICAL ASSISTANT PROGRAM WITH 3.0 GPA

References Available Upon Request

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