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Genevieve NewtonGN
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Genevieve Newton

@genevievenewton

Claims Processor at BLUE CROSS BLUE SHIELD who adjudicates medical claims and verifies CPT and ICD-10 coding.

United States
Message

At BLUE CROSS BLUE SHIELD, I adjudicate medical claims and review CPT and ICD-10 coding to support accurate terminology and diagnosis alignment.

I resolve system edits, audits, and claims errors using investigative sources, and process professional, institutional, and dental claims for Self-Funded Benefits plans.

Earlier, I handled homeowners insurance policy cycles at ASSURANT and pre-qualified health insurance customers at CHOICE HEALTH INSURANCE, contributing to a 10% increase in sales.

Experience

Work history, roles, and key accomplishments

Blue Cross Blue Shield logoBS
Current

Claims Processor

Aug 2021 - Present (5 years 2 months)

Adjudicate medical claims by researching and processing submissions according to business regulations and internal processing guidelines. Review and verify CPT and ICD-10 coding to support accurate medical terminology application and diagnosis alignment.

Education

Degrees, certifications, and relevant coursework

FC

Florence-Darlington Technical College

Bachelor's Degree, Radiology

2025 -

Pursuing a Bachelor's Degree in Radiology, expected to complete in the future.

MS

Marion High School

High School Diploma, General Studies

Earned a High School Diploma from Marion High School in 2014.

Tech stack

Software and tools used professionally

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