I am a registered nurse and experienced claims adjudicator for a US based health insurance company with extensive background in processing medical claims from hospitals, doctors, dental clinics and prescriptions in a timely manner. I also respond to correspondence, appeals and inquiries .through phone call records. Familiar to ICD 9, ICD 10 coding, HCPCS or CPT coding. A determined individual who follows guidelines according and based on state variations, plan contract and HIPAA to determine if a claims is eligible for settlement or denial.