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RCM Specialist at HealthPrime
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Competencies
Expertise in managing and processing medical insurance claims efficiently.
Proven ability to resolve client issues and maintain high satisfaction levels.
Skilled in verifying insurance details to ensure claim accuracy and compliance.
Competent in managing medical records and order documentation with attention to detail.
Education
Languages
Summary
Experienced in medical claims, insurance verification, and customer support, with a track record of improving claim accuracy and customer satisfaction in healthcare and banking sectors.
Key Achievements
- Processed and verified medical claims ensuring accuracy and compliance.
- Reviewed medical records to support claims processing, reducing errors.
- Followed up on claims to expedite reimbursement and improve cash flow.
Experience
Revenue Cycle Management (RCM) Specialist
Processed medical claims and reviewed medical orders to ensure documentation accuracy.. Reviewed medical records and verified insurance information to support claims processing.. Followed up on claim denials and communicated with insurance payers regarding claim status.. Maintained accurate patient documentation and ensured compliance with HIPAA regulations while meeting productivity and quality standards.
Customer Service Representative – Bancolombia
Assisted customers with banking products, transactions, and account requests.. Resolved customer issues while consistently achieving quality and productivity goals.. Completed administrative tasks and maintained accurate customer records using internal systems.