Tracy Orr
Medical Claims Specialist | Claims Adjudication | Back-Office Operations
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About
Detail-oriented healthcare professional with experience in high-volume medical claims processing, adjudication, and compliance. Proven ability to process 70–100 claims daily with high accuracy while ensuring adherence to CMS guidelines, state mandates, and HIPAA regulations.
Experience
Medical Claims Specialist - Aetna / CVS Health
(2023-05)
- Process and adjudicate 70–100 medical claims daily with strong accuracy and attention to detail
- Review claims for deductibles, coinsurance, and benefit limits
- Ensure compliance with CMS guidelines, state mandates, and HIPAA
- Research and resolve claim discrepancies
- Document claim decisions in internal systems
Dispute Analyst I - INCOMM Financial Services
(2022-01 - 2023-02)
- Investigated and resolved transaction disputes including fraud and chargebacks
- Processed refunds, account updates, and adjustments
- Conducted audits to ensure compliance and accuracy
Branch Assistant Manager - Covington Credit
(2021-06 - 2021-12)
- Supported loan processing and daily operations
- Maintained accurate financial records and compliance
Account Manager - Rent-A-Tire
(2020-09 - 2021-05)
- Managed accounts, processed payments, and resolved delinquent balances
- Maintained compliance with state and federal regulations
Senior Customer Service Representative - TSYS
(2014-07 - 2020-08)
- Resolved escalated account issues requiring research
- Trained team members and improved service accuracy
Education
Bachelor of Science - Business Administration - Colorado Technical University (2026)
