Carolyn Thompson
@carolynthompson
Detail-oriented healthcare administrative professional specializing in claims processing.
United StatesWhat I'm looking for
I am a detail-oriented and dependable healthcare administrative professional with a strong background in provider enrollment, claims processing, data entry, and insurance verification. I excel at navigating complex payor requirements and enrollment portals, efficiently resolving issues while maintaining compliance with regulatory standards.
Throughout my career, I have been recognized for my accuracy and organization, thriving in remote, fast-paced environments with minimal supervision. My commitment to supporting seamless operations and enhancing provider onboarding experiences has driven my success in roles such as Claims Examiner at AmeriHealth Caritas and Claims Examiner/Provider Enrollment Specialist at FirstSource Solutions.
Experience
Work history, roles, and key accomplishments
Claims Examiner
AmeriHealth Caritas
Aug 2023 - Nov 2024 (1 year 3 months)
Responsible for reviewing and analyzing claims for accuracy and completeness, verifying policy information, and making adjudication decisions based on established guidelines. Collaborated with team members to improve claims processing efficiency and resolved discrepancies.
Claims Examiner/Provider Enrollment Specialist
FirstSource Solutions
Jan 2021 - Aug 2023 (2 years 7 months)
Processed vision, medical, and pharmacy claims with a focus on accuracy and compliance. Researched and resolved claim issues related to provider enrollment and applied knowledge of medical coding to correct discrepancies.
Customer Service Specialist
Ohio Department Of Job And Family Services
Sep 2017 - Aug 2020 (2 years 11 months)
Provided customer service for various assistance programs, handling inquiries and complaints. Utilized Microsoft Suite for data entry and maintained accurate records while ensuring customer satisfaction.
Customer Service Agent
Fifth Third Bank
Feb 2016 - Jun 2017 (1 year 4 months)
Handled high-volume inbound and outbound calls, assisting customers with billing and service inquiries. Resolved complaints and maintained detailed records of interactions while meeting performance metrics.
Education
Degrees, certifications, and relevant coursework
ECOT
High School Diploma, General Education
2011 - 2015
Completed high school education with a focus on developing foundational skills necessary for further education and career opportunities.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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