Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jessica Dean

Phoenix

Summary

Professional analyst with strong expertise in claims review and evaluation. Skilled in data analysis, compliance, and documentation. Focuses on team collaboration and achieving results. Reliable and adaptable with a commitment to maintaining high standards. Known for problem-solving, critical thinking, and effective communication.

Overview

8
8
years of professional experience

Work History

Lead Claims Review Analyst

EPIQ SYSTEMS, INC.
11.2022 - 04.2024
  • Developed comprehensive training materials to improve new hire onboarding and performance.
  • Conducted regular audits of claim files for 20 agents daily to ensure proper handling and adherence to best practices.
  • Maintained compliance with industry regulations by meticulously reviewing relevant documents while processing 120 + claims.
  • Maintained accurate records of all absences, truancy issues, and disciplinary actions. Generated daily reports and assigned work accurately for business aging days.
  • Submitted timely and accurate assessments of team performance to leadership with identification of areas of opportunity and outlined steps required to improve outcomes.
  • Communicated with staff, leaders, and peers to coordinate successful collaboration with other departments.
  • Dynamic, CMX, and Facilitator Systems

Medical Claims Analyst

Cognizant
05.2018 - 03.2022
  • Paid or denied 60 daily medical claims based on membership eligibility.
  • Review member's out-of-pocket for correct cost-share. application and COB information and apply it accordingly
  • Review Error codes, warning messages, and edits for correct processing
  • Analyze claims for correct payment verification and adjust where needed using the Facets system to adjudicate claims.
  • Improved customer satisfaction by resolving complex medical claims in a timely and professional manner.
  • HIPAA Compliance, Healthcare Common Procedures Coding System (HCPCS), Medical terms and procedure knowledge, Explanation of Benefits (EOB), International Classification of Diseases, Tenth Revision (ICD-10)Current Procedural Terminology (CPT) Facet System.

Data Entry Clerk

J.P. Morgan
05.2016 - 08.2018
  • Organized, sorted, and checked input data against original documents.
  • Scanned documents and saved in database to keep records of essential organizational information.
  • Responsible for the intake of all programs specific correspondence including mail, inbound faxed documents.
  • Logs information into appropriate database and triages all program specific mail to the appropriate reimbursement case advocate, reimbursement specialist and/or management team.

Education

Certificate - Medical Billing & Coding

Coding Clarified
Mesa, AZ
11.2022

High School Diploma -

Compadre Academy High School
01.2015

Skills

  • 40 WPM

  • Oracle databases

  • Clinical data entry

  • Alphanumeric data entry

  • Data entry and 10-key

  • Computer literacy and data entry

  • Strong analytical skills

  • Time Management

  • Critical thinking aptitude

  • Multitasking efficiency

  • Team leadership

  • HIPAA compliance awareness

Timeline

Lead Claims Review Analyst

EPIQ SYSTEMS, INC.
11.2022 - 04.2024

Medical Claims Analyst

Cognizant
05.2018 - 03.2022

Data Entry Clerk

J.P. Morgan
05.2016 - 08.2018

High School Diploma -

Compadre Academy High School

Certificate - Medical Billing & Coding

Coding Clarified

Similar Profiles

CREATE PROFILE
Jessica Dean