Claims Processor - Healthcare Resume Search
Claims Processor - Healthcare Resume Search
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Claims Processor Resume


Desired Industry: Healthcare SpiderID: 60328
Desired Job Location: Tampa, Florida Date Posted: 5/8/2012
Type of Position: Full-Time Permanent Availability Date: 05/28/2012
Desired Wage:
U.S. Work Authorization: Yes
Job Level: Experienced with over 2 years experience Willing to Travel: Yes, Less Than 25%
Highest Degree Attained: High School/Equivalent Willing to Relocate: Yes


Objective:
To obtain a position as an entry level
employee with a reputable company where I
can demonstrate my academic skills and
have the opportunity to advance in the
profession.


Experience:
05/2008 05/2012 Wellpoint Inc.
Mason, OH
Claims Representative II
 Evaluates processes and pays
health insurance invoices and claims
 Coordinates benefits with other
medical insurance plans and Medicare
 Use computer applications such
as Microsoft Lync 2010, E-Certification,
Check Inquiry, BPM Framework, Blue Web,
Ultera, MAS Toolbar, Lotus Notes,
Citrix, Mainframe, TSO, FACETS, PMIS,
Blue Square, VPN, spreadsheets, word
processing, e-mail, and database
software in performing work assignments
 Worked aging claim reports such
as UD090, Invalid SF report and DF no RF
report
 Sent Emails and made phone calls
to other Blue cross plans to discuss
ways to prevent the aging of claims

08/2007 09/2008 Prestige
Delivery Systems Blue Ash, OH
Data Entry Specialist
 Enter signatures of deliveries
 Reports for Quill, Staples, and
Office max
 Print reports

08/2006 05/2007 The Wornick
Company Blue Ash, OH
Assemble/ Inspection
 Food inspections of military
food items up to 6000 pieces a day
 Packed food
 Assembled meals to prepare for
shipment

06/2006 11/2006 Family Dollar
Cincinnati, OH
Cashier
 Demonstrated exceptional
customer service
 Computed invoices and received
payments


Education:
06/2011 2014 Cincinnati State
Technical & Community College
Cincinnati, OH
Pastry Arts
 4.0 GPA for Summer term
 Servsafe Certified

05/2007 05/2008
Bohecker College
Cincinnati, OH

Medical Billing and Coding Program

 Completed a 160-hour externship
with familiarity with the following:
Registration, charging, pulled
Explanation of Benefits and various
administrative duties.

08/2005 05/2006
Aiken Traditional High School
Cincinnati, OH

 Received Diploma
 National Honor Society




Skills:
Analyze data, Calculate numerical data,
Finding information, Handling
complaints, Writing letters, Operating
equipment, Supporting others, Answering
telephones, Training individuals,
Organizing task, Editing work, Enduring
long hours, Reporting information,
Updating files, Investigating problems,
Locating missing information, Organizing
files, Team player, Great Communication
skills, Leadership skills, Computer
skills, Claims processing


Candidate Contact Information:
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