Ericka
Senior Medical Claims Examiner| Claims Processor | Medical Billing | Data Analys
Overview
Looking for any work (8 hours/day)
at $4.23/hour ($818.18/month)
Bachelor's degree
Last Active
June 28th, 2026 (11 days ago)
Member Since
March 20th, 2026
Profile Description
Detail-oriented Senior Medical Claims Examiner with 5+ years of experience in end-to-end
medical claims adjudication, benefits and eligibility verification, and medical records review.
Proven ability to exceed productivity targets (130%) while ensuring accuracy, regulatory
compliance, and adherence to payer guidelines and HIPAA requirements. Experienced in
handling complex and high-dollar claims, mentoring new examiners, and supporting team
performance improvements.
Top Skills
Customer Support » Insurance » Medical Insurance
Experience: 2 - 5 years
• Trained on adjustment request, medical records response, and image request queues. • Processed and adjudicated medical claims, ensuring accuracy in eligibility, coverage, and billing. • Approved, denied, or adjusted claims based on standard operating procedures and supporting medical documentation. • Familiarity with CMS-1500 and UB-04 forms in claims evaluation and processing. • Ensured compliance with HIPAA regulations and updated payer guidelines.
Professional Services » Medical Services » Medical Billing
Experience: 2 - 5 years
Consistently meeting 130% of monthly productivity targets while maintaining quality standards. • Supported newly trained examiners, improving accuracy and overall team performance. • Evaluated high-risk, complex, and high-dollar claims in accordance with policy and payer guidelines. • Supported process improvement initiatives to enhance workflow efficiency and claim resolution time. • Maintained productivity and quality standards in a high-volume processing environment. • Supported leadership in queue monitoring and case prioritization to meet turnaround times.
Other Skills
Basic Information
- Age
- 27
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Tests Taken
- IQ
- Score: 91
- DISC
- Dominance: 15
- Influence: 16
- Steadiness: 34
- Compliance: 35
- English
- B1(Intermediate)
- Government ID
- Sign Up with Pro Account to View
“There are just so many skills that the Filipino market has that they bring to the table. It's been amazing.”
Samori Coles
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