Profile Enterprising professional with 15+ years of experience executing medical insurance claims functions. Possesses expertise in insurance, health policy complaints, compliance, and regulations. Employs excellent supervisory skills and builds high-functioning teams through development of targeted training programs. Self-governing and organized, works well in a remote, work-from-home, environment. Core Strengths: Test Planning/Procedures Documentation Quality Analysis Quality Improvement Medicaid Staff Supervision Systems Testing Claims Verification Claims Auditing Training Customer Service SQL Server Skype 10-Key Touch Account Reporting MS Office: Outlook, Excel, MS Word, PowerPoint Medical Terms Medicaid Management Information System Analytical skills Research Healthcare health care Managed Care Appeals Billing Representative Billing Claims Customer Service Medical Billing

Highlights:

• Complaints
• Documentation
• Management
• Quality Assurance
• Test
• Customer Service
• customer service skills
• Process Improvement
• Fraud
• Policies and Procedures