Experienced Claims Processor with a deep understanding of insurance processes and claims procedures. Possesses exceptional attention to detail and strong time management skills, enabling successful handling of high volumes of claims. Known for accuracy and thoroughness, consistently delivering error-free work in accordance with processing guidelines. Detail-oriented Quality Control Analyst adept at both qualitative and quantitative analysis techniques. Demonstrates extensive knowledge of scientific principles and expertise in [Area of expertise]. Brings a solid background in collecting and analyzing quality measures, providing valuable recommendations for process and quality enhancements.
Maintained strict adherence to HIPAA regulations, ensuring patient privacy and data security during all communication efforts
Demonstrated exceptional attention to detail in reviewing EOBs and identifying errors affecting claim approvals
Assisted in training new AR Callers, providing guidance on department protocols and procedures for effective claim followup
Reduced outstanding account receivables by diligently following up on unpaid claims with payers