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Yyyyyy x. yyyyyy
0000 xxxxxx xxxx , xxxx , xxxxx 00000 xxx-xxx-xxxx
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Profile of Qualifications
Demonstrated ability to successfully perform administrative functions within fast paced medical and insurance claims environments.
Dynamic interpersonal communication, organizational management and leadership skills obtained throughout 9 years of professional experience.
Possesses proficiency in MS Office Suite.
Knowledgeable in ICD-10 medical coding and HCFA 1500 claim forms.
Key Areas of Expertise
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Administrative Operations Data Analysis/Compilation Insurance Claims Knowledge |
Organizational Management Regulation Compliance Medical Terminology |
Interpersonal Communication Leadership MS Office Suite
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Professional Synopsis
Workforce Safety and Insurance, Bismarck, ND 2013-Present
Claims Adjuster
Leverage strong organizational skills to manage caseload within a fast paced environment.
Performs necessary administrative functions on a daily basis.
Collaborate extensively with team members, attorneys and WSI medical consultants to ensure claims are appropriately handled.
Thorough analyze provided data and determine eligibility/legitimacy of insurance claim.
Maintain adherence to company and state guidelines while approving and denying medical products/services.
Utilize MS Office Suite to complete scheduling, document processing and report generation operations.
CND Cancer Registry, Bismarck, ND 2000-2006
Cancer Registrar
Utilized strong organizational skills to successfully collect cancer data from medical records; analyzing and creating in depth reports accordingly.
Presented pertinent information to doctors, nurses, staff members and radiologists.
Reviewed medical records; ensured follow ups were conducted by appropriate parties at appropriate times.
Contributed extensively to ensuring achievement of oncology accreditations.
Education & Professional Development
Master in Business Administration (MBA), University of Mary, Bismarck, ND; 2012
Bachelor of University Studies, Healthcare Emphasis, North Dakota State University, Fargo, ND; 2002
Coursework Completed toward Bachelor of Respiratory Therapy, North Dakota State University, Fargo, ND
Associate of Applied Science in Computer Support, BSC, Bismarck, ND
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