Summary:I am a dedicated Medical Claims Supervisor with 5 years of comprehensive experience in the healthcare industry. My expertise spans across claims analysis, adjudication, quality assurance, and electronic data interchange (EDI) for claims and enrollment. I am passionate about optimizing claims processes, ensuring compliance with regulatory standards, and driving continuous improvement within my team.My background includes:- Leading and mentoring a team consisting of over 20 individuals to achieve and exceed performance metrics.-Implementing robust quality assurance protocols to ensure accuracy and compliance in claims adjudication.- Developing and delivering training programs for new hires and ongoing employee development.-Managing electronic data interchange processes for claims and enrollment, ensuring seamless integration and data integrity
Listed skills include Microsoft Office, Teamwork, Microsoft Word, Management, and 6 others.