Experience

Adventist Risk Management, Inc.

• Health Claims Processor and Adjuster



Independence Blue Cross

• United States
• Insurance
• 700 & Above Employee

• Claims Examiner II and Adjuster

  • Sep 1992 - Feb 2003

  • Monthly reporting of allowed, disallowed and H.M.O. claims paid out of the local area • Investigating and adjusting claims for the National Groups and Plans • Maintaining and updating the eligibility of the Control File for the Groups. Attended Special Training & Development for Respectful Workplace & Communication Knowledge of Microsoft Word, Excel, ICD-9 Coding, and Medical billing procedures Attended and completed classes for Medicare • Claims processing… Show more • Monthly reporting of allowed, disallowed and H.M.O. claims paid out of the local area • Investigating and adjusting claims for the National Groups and Plans • Maintaining and updating the eligibility of the Control File for the Groups. Attended Special Training & Development for Respectful Workplace & Communication Knowledge of Microsoft Word, Excel, ICD-9 Coding, and Medical billing procedures Attended and completed classes for Medicare • Claims processing, adjusting, clearing suspended Medicare claims and working on special projects Show less