Results-driven Senior Benefits Analyst and Subject Matter Expert with proven expertise in medical claims processing, operational efficiency, and quality assurance. Skilled in leading root cause analyses, enhancing auto-adjudication rates, and delivering training programs that strengthen offshore team performance. Adept at facilitating cross-functional collaboration, implementing
best practices, and optimizing operational workflows to ensure accuracy, consistency, and compliance
Experience: 10+ years
Experienced in creating claims from scratch using procedure and CPT codes, applying correct place of treatment, and ICD-10 diagnosis codes to ensure accuracy and compliance.
Experience: 2 - 5 years
Delivered training and performed QA reviews to maintain accuracy and performance in team deliverables.
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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