Jamie Durand Haagensen
Claims Analyst @Benefit Resource, Llc
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WORK HISTORY
Claims Analyst @Benefit Resource, Llc
MN, US
Principal responsibilities include: · Research HSA and FSA claims for completion and appropriateness. · Review and handle rejected claims as necessary. · Evaluate base payment determination using IRS claims processing guidelines. · Utilize Claims Department policies & procedures, workflows and manuals to meet Departmental production and quality metrics. · Routinely exceed established Departmental individual production standards and collaborate with other Claims staff to ensure departmental compliance targets are met. · Meet or exceed a financial accuracy standard of 99% and a procedural accuracy standard of 98%. · Review highly complex claims and edits to determine the appropriate handling for each including paying, denying or suspending for Claims Processing review. · Perform complex adjustments and manually price claims as needed. · Review and resolve Service Requests, as required, within established timeframes. · Communicate identified issues with claims and claims processes to Supervisor or Manager and propose resolutions. · Actively participate and collaborate with entire department to continuously improve workflows and performance. · Perform other duties and special projects as assigned.
EDUCATION
Tech Skills - Healthcare Programs
Certified Professional Coder (CPC): A Certified Professional Coder (CPC) examination, Medical Billing, Medical coding
Grand Rapids high school
High School degree
Brown College
• Bachelor of Science Degree in Communication Studies, • Associate of Applied Science Degree in Journalism
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