Dedicated insurance professional with extensive experience in claims processing, prior authorizations, and documentation management. Seeking a data entry, claims processing, or administrative role in the insurance industry that leverages my analytical skills and attention to detail, while minimizing customer service phone interactions.
Assisted individuals in understanding and navigating complex benefit programs, including health insurance and government benefits.
Conducted thorough assessments to ensure clients accessed appropriate resources and maximized benefits.
Documented client interactions and maintained detailed records in compliance with company policies.
Reduced application processing time by 15% by streamlining client intake processes.
Processed and reviewed prior authorization requests, ensuring compliance with insurance policies and guidelines.
Communicated with healthcare providers to obtain necessary documentation for approvals.
Maintained a high level of accuracy in data entry and managed a high volume of electronic records.
Resolved 95% of discrepancies within 48 hours, ensuring timely authorization processing.
Analyzed insurance eligibility criteria to determine coverage and provide accurate information to clients.
Reviewed insurance claims for accuracy, resolving discrepancies promptly.
Collaborated with healthcare providers and clients to clarify coverage options.
Processed over 1,000 eligibility reviews monthly with a 99% accuracy rate.
Managed electronic documentation for insurance claims, ensuring completeness and accuracy.
Entered and processed claims data into company systems efficiently.
Identified and resolved documentation discrepancies in collaboration with team members.
Digitized 5,000+ records, reducing retrieval times by 30%.