Open to opportunities

Terri Housen

@terrihousen

Message

Dedicated claims professional with 3+ years in healthcare insurance claims processing and resolution.

United States

Message

What I'm looking for

I seek a remote or hybrid role in healthcare claims where I can apply my claims processing, payer collaboration, and authorization expertise to improve accuracy and expedite resolutions.

I am a dedicated claims associate with over three years of specialized experience processing and resolving healthcare insurance claims. I consistently verify documentation, perform eligibility and authorization checks, and collaborate with payers and providers to resolve denials and discrepancies while maintaining accurate audit-ready records.

I bring strong attention to detail, effective written and verbal communication, and proficiency with claims systems (IDX, Guidewire, Xactware), EMR, and Microsoft/Google productivity tools. I thrive in remote environments, prioritize timely follow-up, and am committed to ensuring compliance and facilitating appropriate patient care through accurate claims management.

Experience

Work history, roles, and key accomplishments

Current

Claims Associate

Current

Prime Therapeutics

Mar 2025 - Present (7 months)

Process high volumes of insurance claims, verify documentation and coding, and collaborate with payers to resolve denials, ensuring timely resolution and compliance with payer timelines.

Insurance Claims Processing Denial Management Documentation EMR Microsoft Office Remote Collaboration

Claims Specialist

Omni Interactions, Inc.

Jul 2021 - Feb 2025 (3 years 7 months)

Reviewed and processed insurance claims for completeness and compliance, coordinated with payers and internal teams to resolve missing data or authorization requirements, and maintained timely claim submissions.

& Compliance Authorization Communication IDX Medicaid Medicare

Claims Specialist

Via Source

Mar 2018 - Jul 2021 (3 years 4 months)

Investigated and resolved complex medical claims by analyzing records and billing information, collaborated with providers for documentation, and maintained high productivity while meeting quality standards.

Claims Investigation Appeals EMR Attention To Detail

Claims Processor

Working Solutions

Aug 2016 - Mar 2018 (1 year 7 months)

Processed healthcare insurance claims for accuracy and compliance, verified patient information and medical documentation, and communicated with providers and policyholders to resolve discrepancies.

Claims Processing Verification Healthcare Regulations Google Workspace