Jeric Godala

Medical Billing and Claims Analyst with 3+ years of experience in healthcare claims, billing support, and insurance verification. Proficient in medical billing and claims processing, insurance eligibility verification, EHR systems, HIPAA-compliant documentation, and clear communication with providers and insurers. Consistently processed claims, maintained organized records, and resolved claim discrepancies across multiple healthcare settings.

Medical Claims Analyst at Med-metrix Inc. (2024-09 – 2025-09)

• Reviewed medical claims to ensure accuracy and compliance with regulations, leading to a reduction in discrepancies.
• Processed claims using EHR systems and Med-metrix software, achieving timely submissions and maintaining high standards of HIPAA compliance.
• Communicated with healthcare providers and insurance companies to resolve claim discrepancies and inquiries, enhancing overall claims processing efficiency.
• Maintained organized records of submitted claims and correspondence, demonstrating strong attention to detail and follow-through.

Medical Claims Analyst at Trinity Health (2023-08 – 2024-08)

• Analyzed medical claims to ensure accuracy and compliance with Medicare, Medicaid, and private insurance guidelines.
• Reviewed documentation to verify patient eligibility and benefits coverage, demonstrating strong attention to detail.
• Processed manual adjustments, including voids and write-offs, to facilitate reimbursement-related corrections.
• Communicated with healthcare providers to resolve claim discrepancies, enhancing collaboration and problem-solving.
• Engaged with insurance companies to follow up on claim status and inquiries, showcasing effective communication skills.

Insurance Verification And Authorization Specialist at Omega Healthcare (2022-01 – 2023-05)

• Processed insurance verification requests efficiently, ensuring timely reimbursement support and compliance with payer requirements.
• Maintained accurate records of verification results in EHR systems, demonstrating strong organizational skills and attention to detail.
• Reviewed and updated patient information regularly to ensure HIPAA compliance and adherence to regulatory standards.
• Verified patient insurance eligibility and secured prior authorizations, facilitating seamless appointment scheduling and procedure coverage.

Associate of Science in Refrigeration and Air Conditioning Mechanic – Don Bosco Technical College