AMANDA MORROW
Murfreesboro,TN
Summary
Detail-oriented and efficient Medical Claims Processor with over 7 years of experience in benefits claim handling, insurance verification, and healthcare reimbursement. Skilled in accurately processing high-volume claims, verifying policy coverage, ensuring compliance with medical coding standards, and resolving discrepancies through effective communication with providers and members. Adept at working independently or as part of a collaborative team in fast-paced healthcare environments.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Processor
Aetna
11.2024 - Current
- Process life insurance benefit claims with a focus on policy adherence and accuracy.
- Review documentation for completeness and resolve missing or unclear information.
- Collaborate with internal teams and policyholders to ensure timely resolutions.
- Maintain high processing accuracy and compliance with regulations.
Leasing Associate
RPM Living
11.2023 - 11.2024
- Utilized Yardi and RentCafe to manage leasing processes, payments, and resident records.
- Served as a point of contact for residents, resolving issues with professionalism and clarity.
- Supported back-office tasks and maintained accurate property records and documentation.
Real Estate Agent
Vylla Home
08.2021 - 01.2023
- Represented clients in residential real estate transactions and maintained regulatory compliance.
- Managed client documentation and coordinated with lenders, inspectors, and title agents.
- Communicated policies and processes clearly to clients throughout transactions.
Eligibility Representative
Accredo (Express Scripts)
06.2014 - 02.2021
- Verified patient insurance for specialty pharmacy medications and processed medical claims.
- Determined coverage eligibility and communicated benefits to patients and providers.
- Documented claim data using internal systems, ensuring accurate coding and reimbursement.
- Assisted in claim escalations and resolved discrepancies in a timely manner.
Education
Real Estate Certification -
CE Shop
Memphis, TN01.2021
Medical Billing & Coding -
Anthem Career College
Memphis, TN01.2007
Skills
- Medical Claims Processing
- Insurance Verification (Medicare, Medicaid, Commercial)
- ICD-10, CPT, and HCPCS Coding Knowledge
- Claims Review and Investigation
- EOB and Coverage Analysis
- Regulatory Compliance (HIPAA)
- Provider & Patient Communication
- Electronic Claims Systems (Yardi, RentCafe, internal CRM tools)
- Data Entry and Documentation Accuracy
- Remote and Hybrid Work Experience
Certification
- Certified Professional Coder (CPC), Planned
- HIPAA Compliance Training, Ongoing
Timeline
Claims Processor
Aetna
11.2024 - Current
Leasing Associate
RPM Living
11.2023 - 11.2024
Real Estate Agent
Vylla Home
08.2021 - 01.2023
Eligibility Representative
Accredo (Express Scripts)
06.2014 - 02.2021
Real Estate Certification -
CE Shop
Medical Billing & Coding -
Anthem Career College
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