Claims Analyst

Posted on: 2007-08-08

Somnuck J Nouanephongsy 3421 Virginia Ave Springfield, Oregon 97478 E [email protected] P 503/544-2414 URL: [email protected] Career: May 2005-Present A&I Benefits Plan Admin, Inc Portland, OR Claims Analyst I - Automatic and manual adjudicating claims into system -Repricing PPO claims via internet and using Excel spreadsheet -Preparing claims for return to provider/subscriber if additional information is needed -Other duties: Processing RX batch drug, filing and mail sort August 2002 – February 2005 Wells Fargo Bank, Card Services Beaverton, OR Operations Clerk 2 -Effectively able to support operations analyst, backing up Access databases and trouble shooting when analyst is unavailable -Proficient at extracting and importing data from SQL server, generating reports and preparing files to be sent for batch processing -Responsible for formatting and dispersing extracted data for management reports -Accountable for sorting and logging incoming probate correspondence for processing -Knowledgeable in Probate policies and procedures, as well as being responsible for completion of Probate correspondence and account research March 2002- August 2002 CTDI c/o Northwest Staffing Portland, OR Quality Assurance -Gained experience working in fast paced production environment, confirming cellular product information with system records, including verification of customer billing information -Responsible for programming cellular phones according to customer plan specifications -Accurately audited over 100 work-orders daily, meeting department expectations Sept. 2001- January 2002 EDS c/o Kelly Services Portland, OR Proofread Operator -Responsible for processing of Washington Mutual checks, including running check batches through encoding machine and manual entry of check amounts. -Reviewed batches for accuracy, reconciling batch balances if keying errors occurred Education: Heald College Portland, OR •Associates of Applied Science degree in Computer Technology Mt. Hood Community College Gresham, OR •Basic studies coursework, completed 50+ hours Technology Skills: Proficient using Windows 98-2000, XP, Microsoft Suite (Excel, Word, Access, Outlook), familiar with medical terminology and icd-9 code, strong keyboarding and 10-key skills, multi-line telephone systems. PHI and HIPAA compliance.