Professional Medical Claims Analyst who has a comprehensive understanding of the laws and guidelines concerning medical claims. Adept at analysing complicated insurance data, working in conjunction with insurance representatives and monitoring payment progress. Specialises in data entry, fillling out insurance paperwork and the software that is specific to the industry.
Proficient in several types of coding software platforms
Knowledgeable on the laws and rules regarding medical claims
Has worked extensively with the government claims process
Intimately familiar with the pre-adjudication process of filling medical claims
Meticulously accurate with figures in spreadsheets
Excellent in a team environment
Has trained other claims analysts
March 2009 to July 2014 HealthSystem Corporation-London, UK Medical Claims Analyst
analysed each claim to make sure that they followed proper guidelines and procedures.
Was responsible for filling each claim and keeping the claim archive accessible.
Created a monthly report for management on the financial status of outstanding and paid claims.
January 2002 to March 2009 Integrated Health-London, UK Medical Claims Analyst
Received and immediately processed government medical claims to insure payment as soon as possible.
Worked with several clients on developing streamlined claims process.
Helped to develop a more efficient manner for filling pharmaceutical claims.
December 1994 to January 2002 Health Solutions Now-London, UK Medical Claims Analyst
Scanned new claims into the computer system for archiving purposes.
Filled out all necessary claim forms for government medical claims.
Developed process manual for inputting claims into the new company computer system when it was installed.
1993 Morton Technical College, London, England, Associate’s Degree, Business