To leverage my experience, processing member data and medical claims in the managed care industry. Expertise in performing timely reviews of new and current procedures and policies for accuracy. Proficient at developing policies and procedures for clerical and financial claims processing areas.

Highlights:

• Audit
• Benefits
• Claim Processing
• Cms
• Configure
• Customer Service
• Medicare A &B
• Medicare C&D
• Managed care
• Quality Assurance
• Trainer
• Claims resolution
• HMO
• PPO
• Medical Terminology
• Team Building