• Conduct research and repair reports and contracts.• Setup and maintain email systems, file sharing, and calendars• Assist with statistical software, auditing of client portfolio.• Order and create a workable schedule for subcontractor tasks.

A leader in providing updated and value based trainings in regards to the processing of medical claims. Managing escalated professional claims based on a number of application processes. Extensive knowledge base allows me to research various applications records, and files in order to process and resolve claims with speed and accuracy. Extremely adaptive to constantly changing policies and procedures and any impact they have regarding performance measured guidelines as they may also relate to auditing claims. Experienced in Professional Clearinghouse Suspense edits and routine claims. • Complete research related to current coding/procedural guidelines• Complete appropriate logs, retrieve claim copies, return claims for additional information and re-batch claims as needed.• Maintain consistent production output of 100% with 98% accuracy.• Resolve routine claims with coding issues.• Assist in cross training staff.• Audit Correspondence Claims• Process priority claims to other departments as requested.• Profound knowledge of codes applicable in CPT, HCPC and ICD-9 systems• Ability to process claims for surgery, radiology, lab and medicine for CMS 1500 and CMS 1450L

Worked for Delta Dental as a contractor with Office Team. Most of my job duties were filling, Sorting, Data Entry Processor, and Billing.