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Logisticare Solutions Llc - Claims Specialist Resume Example

Ashy Ojnsohn
XXXX XXXX XXXXXX XXXXX XXXXX XXXXX XXXXX, Queen Creek, AZ 85140
XXXXXXXXXXXXXXXXXXXXXXXX
Ph: XXXXXXXXXXXXX
Professional Summary

Accomplished claims lead specialist with 5 years background in medical billing and processing. Track record of excellent communication and time management skills. Motivated leader with strong organizational and prioritization abilities.  Handles tasks with accuracy and efficiency. Looks forward to new challenges and learning experiences. 

Skills
  • Knowledge of CPT, HCPC, ICD-10 codes
  • Processed HMO, PPO, Medicare and Medicaid plans
  • Efficient in Microsoft Word, Excel, Outlook and Access
  • Strong typing and 10 key ability
  • Strong Medical terminology
  • Proven Leadership ability
  • Professional communication skills
  • Multi tasks well
  • Vast organizational abilities
Experience
Logisticare Solutions LLC Tempe, AZ Lead Special Teams Oct 2015Current
  • Leading the special teams department in all areas including training coaching, monitoring production, and team building. 
  • Organizes all team meetings and agendas. 
  • Performs all client and CMS audits. Composes a database for all month end broker client invoices to submit for payment.
  • Works closely with providers and insurance companies to resolve any escalated issues.  
Logisticare Solutions LLC Tempe, AZ Claims Specialist May 2013Oct 2015
  • Examine and report month end financials to operations 
  • Completes audits on employees to ensure accuracy
  • Provides client education, reviews contracts and updates. 
Logisticare Solutions LLC Tempe, AZ Claims Processor/Adjudication Oct 2012May 2013
  • Examine provider bills on HCFA 1500 forms for accuracy and payment. 
  • Reviews claims for correct coding and documentation needed to meet the CMS and Medicaid guidelines. 
  • Processes the claims for payment according to the correct contract. 
Arizona Regional Hospital Mesa, AZ Unit Secretary Intensive Care Unit May 2011Oct 2012
  • Answer telephones and direct calls to appropriate staff.
  • Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
  • Compile and record medical charts, reports, and correspondences
  • Maintain medical charts
  • Submit physician orders
  • Perform various clerical or administrative functions, such as ordering and maintaining an inventory of supplies.
Education
Mogollon High School Navajo County, AZ High School Diploma: General May 1997
Chandler Gilbert Community College - Pecos Campus Chandler, AZ Associate of Science: Business
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Resume Details

This is a real resume for a Claims Specialist in Queen Creek, Arizona with experience working for such companies as Logisticare Solutions Llc, Arizona Regional Hospital. This is one of the hundreds of Claims Specialist resumes available on our site for free. Use these resumes as templates to get help creating the best Claims Specialist resume.

Previous Companies:

  • Logisticare Solutions LLC
  • Arizona Regional Hospital

Previous Job Positions:

  • Claims Specialist
  • Claims Processor

Schools:

  • Mogollon High School
  • Chandler Gilbert Community College - Pecos Campus

Level of Education:

  • High School Diploma
  • Associate of Science

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