Celeste Tillman
EXPERIENCE
June 2017 - Current
Remote Claims Examiner Molina Healthcare | Troy, MI
Royal Oak, MI--
• Paid and processed claims within designated authority level.
• Handled and processed variety of claims, including Medicaid and
Medicare.
• Double-checked and reviewed documentation for denied an accepted
insurance claims.
• Reviewed claims to ensure accuracy, resulting in multiple claim
reductions.
• Entered claim transactions, payments, reserves and other
documentation.
• Reviewed and resolved open claims and change orders to determine
entitlement for additional payment.
SUMMARY
I have over 40 years of Data Entry
and Claims Processor experience.
I'm seeking a remote part-time
Data Entry Clerk or Claims
Processor position for nights and
weekends.
SKILLS
• Customer service and support
• Communication and
Interpersonal Skills
• Attention to Detail
• Coverage and Authorizations
• Data Entry and Review
• Electronic Medical Records
• Secure Data Practices
• Appointment Scheduling
• Detail-Oriented
• Invoice Preparation
• Organization and Time
Management
• Skilled in Microsoft Office
February 2005 - March 2017
Data Entry Clerk Kelly Services | Troy, MI
• Input client information into spreadsheets and company database to
provide leaders with quick access to essential client data.
• Responded to daily inquiries and requests within mandated timeframe to
meet deadlines.
• Remained focused for lengthy periods to accurately perform work with
adequate speed.
• Followed data program techniques and procedures to maintain data
entry requirements.
• Proofread and edited documents to correct errors.
• Contacted customers via phone or email to address data inquiries.
• Verified confidential or private client information in adherence to state
and federal laws.
EDUCATION AND TRAINING
Some College (No Degree) | General Office Services
Oakland Community College, Royal Oak, MI