Jenny chang
@jennychang
Claims Analyst specializing in accurate, regulation-driven claims processing and data analysis.
United StatesWhat I'm looking for
I’m a results-oriented Claims Analyst with comprehensive expertise in claims processing and data analysis, including HIPAA experience handling sensitive patient health and financial information.
At UCare, I independently review and process claims in line with DHS and CMS regulations and department work instructions. I handle policy and procedures, coordination of benefits, and payment determination, manage pending files with timely follow-up, and partner with internal teams to obtain the information needed to complete claims in HealthEdage/HealthRules.
Earlier in my career, I supported authorization workflows and data entry as a Clinical Review Assistant at Prime Therapeutics, sorting clinical faxes by urgency, calling to resolve missing information, and inputting 100+ records daily into Lotus. I also brought document accuracy and operational discipline from Wells Fargo as a Custody Operation Specialist II, where I reviewed and entered legal loan transactions into Custody Online Tracking System (Emb Trust), ensuring information quality before processing.
Experience
Work history, roles, and key accomplishments
Independently reviewed and processed healthcare claims in line with DHS/CMS regulations, coordination of benefits, and payment determination guidelines while managing pending files and communicating status to leadership. Handled sensitive patient and financial data HIPAA-compliantly, using ICD-10 coding and Microsoft Office to ensure accurate processing into HealthEdge/HealthRules.
Examined and handled legal loan documents, reviewed transaction details, and entered activity into the Custody Online Tracking System (Emb Trust). Supported operational tasks including bundling and filing documents for review and ensuring loan documents were accurately recorded for deposit and labeling.
Sorted incoming clinical faxes by client and urgency, routed documents into the correct database, and called providers to obtain missing information for authorization. Processed and reviewed prior-authorization information by entering details into Lotus, achieving over 100 records entered daily.
Hand Bindery & Production
Print Craft, Inc.
Aug 2013 - Oct 2016 (3 years 2 months)
Assembled and hand-taped production projects, operated machine equipment, and fed products into the machine to support timely shipping. Packed and boxed items for shipment, double-checked packages before sending, and maintained a fast-paced workflow on the production floor.
Education
Degrees, certifications, and relevant coursework
Patrick Henry High School
High School Diploma, High School
2003 - 2008
Earned a high school diploma from Patrick Henry High School from 2003 to 2008.
Availability
Location
United StatesAuthorized to work in
Social media
Skills
Interested in hiring Jenny?
You can contact Jenny and 90k+ other talented remote workers on Himalayas.
Message JennyFind your dream job
Sign up now and join over 250,000+ remote workers who receive personalized job alerts, curated job matches, and more for free!
