J. R. Miller

Medical Claims Examiner @Health Net

Sacramento, CA, US

Processed all medical claims eligible and ineligible for payment ensuring that all claims are accurate and meet department quality, production standards and specificationsPromoted to Claims Corrections Units within one month of hire and completion of training specializing in the corrections of all medical claims pending, approved and denied previously to ensure payments and refunds are processed accurately while meeting department and company deadlinesDemonstrated vast knowledge of medical coding and billing, medical terminology and documentation Determined level of reimbursement based on established criteria, provider contract, plan and employer group provisions, for multiple products within the company.Maintained 100% accuracy on all claims audited by Audit Department

Lincoln University

Music Theory and Composition

Sacramento City College

Business/Commerce, General

Consumnes River Colle

General Studies