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2022-07-16 20:11:52
About this user
I am a professional Medical Billing and Coding Specialist in the Healthcare Industry. I joined Quickstart to learn more about Data Science and Analytics in order to advance my career and get another chance to get Epic Certification.
  • Associate of Health and Science
    Ultimate Medical Academy
    Aug 2020 - Jan 2022 1 Year(s) and 5 Month(s)
My Professional Background
  • Claims CSR
    Anthem Inc.
    Jul 2021 - Apr 2022 9 Month(s)

    Inbound high volume call center role. Where I provided Outstanding Customer Service to members and health care providers needing explanation or status updates on medical claims. Advised of benefits and eligibility of services or procedures. Advised on CPT, ICD-10-CM, and HCPCS codes if they were valid and billable under the members health plan, and if the codes would require prior authorization or precertification. Assisted government employees with enrollment into their health plans. Advised if the selected health care provider was in or out of network with the health plan. Updated coordination of benefits. Assisted members with enrollment of their patient portal. Created provider directories based on specialty or geographical area. Advised on medical necessity documentation. Conducted research in various systems to provide accurate information in an efficient manner. Exceeded quality and productivity expectations at all times. Maintained a professional tone during every call. Kept control of all calls.