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Edi Claims Manager Resume Dallas, TX
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Title Edi Claims Manager
Target Location US-TX-Dallas
Phone Available with paid plan
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Candidate's Name
Street Address  Treeline DrCarrollton, TX Street Address
PHONE NUMBER AVAILABLEExperienceHealth Care Service Corporation 8/23/2010 - PresentClaims ExaminerResearch claims on the Blue Chip Blue Card Prap FSS PremierAnalyze claims on a daily basis for accuracyPossess the skills and knowledge to adjust a claim if claim it is not accurate.Sent out medical request to providers answer GENINQS to the home plan. Attach medical records for open prx.Assisted department with training of new employees on an as needed basis.Dearborn NationalLife Claim Customer Service 11/16/2009  8/23/2010Handled incoming inquiries regarding life and disability benefitsInquiries consisted of:oGroups calling in to report a claim or request status of a claim of one of their members.oDisability claimants requesting status of their benefits.oFamily, Beneficiaries, or Funeral Homes calling in to report a death or to obtain status of a life claim.Communicated to claim analysts via Seibel if further follow up to a callers concern was required.Utilized Docsql to answer most of the callers questions regarding status of claims.Assisted team on any additional project as needed.Dr. Gregory Shy, Chiropractor 03/01/2009  07/01/2009Bookkeeper/Customer ServiceHandled incoming inquiries regarding benefits, billing, and payments.Made outgoing calls to obtain benefit information from insurance companies and to customers regarding collectionsOversee office duties such as backup to receptionist for scheduling appointments and any other task at hand.Responsible for confidentiality of records.Developed strong relationships with customers, office staff, and doctors.Supports daily operations in the doctor's absence.Dr. Gary Martin, Chiropractor 06/01/2006  03/01/2009Bookkeeper/Customer ServiceHandled incoming inquiries regarding benefits, billing, and payments.Made outgoing calls to obtain benefit information from insurance companies and to customers regarding collectionsResponsible for auditing and maintenance of accurate accounting records.Oversee office duties such as backup to receptionist for scheduling appointments and any other task at hand.Responsible for bringing in well over $78,000 in unpaid and past due accounts.Responsible for confidentiality of records.Developed strong relationships with customers, office staff, and doctors.Supports daily operations in the doctor's absence.American Legion Post 597 02/01/1998  06/01/2006Staffing ManagerSupervised staff activities to ensure correct and efficient workflow.Handles complaints and irate customers.Frontline customer service, providing excellent service to patrons.Scheduling and overseeing special projects and occasions to assure satisfaction of customers.Handled stock in order to meet customer demand.Responsible for payroll and taxes including tax preparation

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