Medical Claims Processor

Verified

$5/hr

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Outline

Looking for Full-Time work (8 hours/day) at $5/hour

Bachelor's Degree

English proficiency Conversational

Professional Summary

Experienced US Healthcare Claims with 3+ years of expertise in overpayment validation, EOB analysis, billing reconciliation, and claims adjustment

Skills & Experience

Skills

Insurance Claims Specialist 2-5 Years

Claims processing, Insurance verification, authorization, biller 2-5 Years

Health Insurance Claims Specialist > Insurance Verification > Electronic Medical Records 2-5 Years

Experience highlights

Financial Recovery Specialist

Carelon Global Solutions · December/2021 – Present

 Responsible for the discovery, validation, recovery, and adjustments of claims overpayments.
 Review claims and initiate possible claims recoupment or coordination actions.
 Ensure claims were processed accurately according to policy guidelines.
 Managed patient and provider claims through detailed EOB review.
 Maintained 98–99% accuracy rate while meeting daily productivity targets in a high-volume claims
environment.

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