Diane Chester Email & Phone Number

United States

Manage 112 high volume clinics that average 40,000 visits per month.Manage NY and NJ claims following strict state guidelines.Handle all aspects of individual and group insurance claims while advocating for members on denials.Review members’ bills for accuracy and obtain missing information.Settle payment discrepencies and investigate unpaid claims with insurance companies.Act as team lead to 10 employees and provide training as needed.Consistently awarded “Top Claim Performer” month over month in claim processing with no errors and within guidelines.

Phoenix, Arizona Area

Manage 10 direct reports and provided training as needed.Reviewed medical records and coding sheets. Researched claims to combat carriers false denials to ensure claims processed accurately.Validated denial reasons and ensured coding was accurate.Submitted grievances and appeals on behalf of customers.Worked later projects as directed with little supervision.

Plano, Texas

Monitored flow of schedules for doctors and nurses.Managed daily appointments for 7 clinic locations.Provided necessary and critical information to patients.Managed high call volumes across multiple phone lines.Registered new patients and requested referrals as needed.Maintained knowledge of implantable cardiac devices and electrophysiology procedures.

Phoenix, Az

Reviewed and processed registration packets for providers. Requested missing information for credentialing. Submitted applications for medical review depending on license status. Performed site visits for Medicaid providers across Arizona and met with clients regularly and virtually.Reported findings to the Inspector General following state guidelines.Worked with FORTIS and PMMIS to process documents in a timely manner.

Phoenix, Az

Handled inbound calls on multiple phone lines.Verified insurance.Ordered DME supplies for clients and answered questions.Processed orders for durable medical equipment.Educated clients regarding medical supplies.Delivered and picked up medical supplies to and from facilities as well as clients homes.Set up oxygen tanks for clients in home.

Diploma, Medical/Clinical Assistant

High School Diploma

Diploma, General Studies