Maria Washington
@mariawashington
Healthcare administration professional specializing in medical claims processing and adjudication.
What I'm looking for
I am a healthcare administration professional with extensive experience processing and managing medical claims, focused on accuracy, compliance, and timely resolution. I have worked remotely and on-site handling high volumes of claims while maintaining up-to-date knowledge of CPT, ICD-9/ICD-10, and third-party billing requirements.
My background includes roles as a Medical Claims Processor, Claims Adjuster, and Claims Specialist where I improved customer satisfaction, negotiated settlements, resolved complex billing issues, and streamlined workflows to enhance efficiency. I consistently maintain accurate patient records and communicate effectively with healthcare professionals, claimants, and carriers.
I bring strong data entry and analysis capabilities, proficiency with medical billing software, and a service-oriented approach grounded in certifications such as Certified Medical Assistant, CPR & First Aid, and dementia care training.
Experience
Work history, roles, and key accomplishments
Medical Claims Processor
Memory Care
Oct 2024 - Present (1 year 1 month)
Processed high volumes of medical claims accurately and efficiently under tight deadlines, researched and resolved complex claims to support timely payment, and maintained accurate patient records while ensuring CPT/ICD coding and regulatory compliance.
Claims Adjuster
Caring Transitions
Apr 2023 - Sep 2024 (1 year 5 months)
Negotiated settlements with claimants and carriers to minimize company risk, examined claim documentation to determine coverage, and improved customer satisfaction through timely updates and transparent communication.
Claims Specialist
Emeritus Senior Living
Nov 2013 - Aug 2015 (1 year 9 months)
Managed a high volume of claims and enhanced processing efficiency by streamlining workflows, providing empathetic customer service, and resolving inquiries promptly to increase client satisfaction.
Education
Degrees, certifications, and relevant coursework
Certified Medical Assistant
Certification, Medical Assisting
2015 -
Obtained and maintains certification as a Certified Medical Assistant since 2015.
New Summit High School
High School Diploma, General Education
Completed high school diploma at New Summit High School in Jackson, MS in 2005.
CPR & First Aid Certification
Certification, Emergency Response
Completed CPR and First Aid certification (date not specified).
Alzheimer's Disease and Dementia Care Training
Training Certificate, Geriatric Care
Completed Alzheimer’s Disease and Dementia care training (date not specified).
Availability
Location
Authorized to work in
Job categories
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