Detail-oriented Claims Specialist with proven skills in claims processing and customer service. Known for strong problem-solving abilities, ensuring compliance, and enhancing teamwork in fast-paced environments.
Overview
19
19
years of professional experience
Work History
Claims Specialist
Social Security Adminstration
Baxter, MN
12.2022 - Current
Evaluated claims for social security benefits, ensuring compliance with regulations and guidelines.
Analyzed claimant information to assess eligibility and calculate benefit amounts accurately.
Developed and maintained comprehensive case files, documenting all interactions and decisions made.
Collaborated with healthcare providers to obtain necessary medical documentation for claims processing.
Patient Access Representative
Conifer Health
Little Falls, MN
09.2007 - Current
Facilitated patient registration processes, ensuring accurate data entry and compliance with healthcare regulations.
Managed insurance verification procedures, reducing claim denials through diligent follow-up and communication.
Coordinated scheduling for multiple departments, optimizing patient flow and minimizing wait times.
Trained new team members on systems and processes to enhance overall operational efficiency.
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.