Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Hedaya Sharif Umar

Chicago

Summary

Seasoned professional with 5 years of experience in customer service and insurance, seeking a Claims Examiner role. Skilled in health claims processing, medical terminology, HCPCS coding, CPT, and ICD-9/ICD-10. Proven track record in insurance verification, sales enhancement, and accurate data analysis.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Claims Benefit Specialist

Combined Insurance
06.2022 - 04.2024


  • Provided exceptional customer service by addressing client inquiries promptly and professionally.
  • Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
  • Negotiated settlements on disputed claims, resulting in equitable resolutions for all parties involved.
  • Maintained up-to-date knowledge on industry regulations and guidelines, ensuring compliance throughout the claims process.
  • Reviewed policy coverage details thoroughly before making determinations on benefits eligibility for each unique claim scenario presented.

Account Coordinator

Arrive Logistics
07.2021 - 03.2022
  • • Served as the principal liaison for key clients, efficiently handling inquiries and concerns while promptly responding to requests.
    • Managed shipment bookings and schedules, guaranteeing punctual pickups and deliveries to enhance customer satisfaction.
    • Oversee the preparation and review of essential shipping documents, such as bills of lading and customs paperwork, and proficiently addressed transportation-related discrepancies, including delays and damages.

Medical Billing Clerk

OptumCare
05.2020 - 06.2021
  • Analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Submitted electronic and paper claims to 12 different insurance companies to collect medical payments.
  • Posted payments and collections on regular basis.
  • Improved cash flow by effectively following up on unpaid claims and resolving discrepancies between billed and received amounts.

Education

Bachelor of Science - Health Information Technology

Western Governors University
Salt Lake City, UT
05.2025

Skills

  • CPT Coding
  • Payment processing
  • Insurance A/R
  • EOB knowledge
  • Spreadsheets
  • Quickbooks, Zoho and Kareo
  • Attention to detail
  • Problem-solving

Certification

  • Certified Medical Coder- Ongoing

Timeline

Claims Benefit Specialist

Combined Insurance
06.2022 - 04.2024

Account Coordinator

Arrive Logistics
07.2021 - 03.2022

Medical Billing Clerk

OptumCare
05.2020 - 06.2021

Bachelor of Science - Health Information Technology

Western Governors University

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Hedaya Sharif Umar