Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Professional Summary

Highly motivated information management professional with superior communication and networking skills. Adept at representing information into manageable insights and distilling complex data into easy-to-understand formats. Managing multiple tasks without compromising the quality of my work. Committed to providing high-quality support and creating a positive and productive atmosphere. Pursing a role in which to contribute my talents within a growing organization who values its clients and community.

  • Planning and Organizational Skills
  • Time Management
  • Accuracy and Attention to Detail
  • Tact and Discretion
  • Risk Evaluation
  • Problem Resolution
  • Critical thinking
  • Data entry
  • Filing
  • Process Management
  • Research Expertise
  • Account Supervision
Work History
06/2019 to Current Account Coordinator Cambridge Isotope Laboratories, Inc. | Tewksbury, MA,
  • Maintained routine communication with clients to assess overall appraisal satisfaction, resolve complaints and promote new offerings
  • Analyze incoming order requests to ensure thorough and accurate information is present
  • Identify appraiser qualifications and negotiate appraisal fees and delivery times
  • Monitor several assignment queues while working quickly and sufficiently
  • Manage client approved appraiser list and appraiser credentials
  • Meet productivity requirements by conducting monthly analysis to produce customer reports
  • Contribute to monthly close out meetings
  • Escalated issues to appropriate channels as necessary
  • Closed 50+ daily accounts by contacting potential appraisers to educate them on property or service requirements
  • Drove fee negotiations and functional operational improvements that resulted in significant savings and improved profit margins
  • Led assign team in monthly close out meetings and developed solutions to meet timelines and work efficiency
  • Saved $1000 by researching and implementing monthly cost-saving initiatives and creating fresh new approaches
11/2017 to 06/2019 Administrative Appeal Coordinator Amplexor | Westminster, CO,
  • Research problem accounts which lack proper facility authorization, and maintained appeal logs, providing weekly data updates of account activity.
  • Received and processed inpatient authorizations, denials and additional patient information.
  • Tracked all pending authorizations to ensure timely resolution, avoiding revenue loss.
  • Reviewed authorization denials, drafted correspondence and clinical appeal rebuttal and disseminated materials to appropriate parties within timely filing guidelines.
  • Communicated verification and authorization status updates with finance department to facilitate decision-making for patient admissions and insurance coverage.
  • Communicated effectively with nursing staff regarding clinical rejections, and identified problems for immediate resolution.
  • Maintained confidentiality of patient records and finances.
  • Processed hundreds of invoices daily and mailed documentation to respective clients.
  • Developed team communications and information for weekly department meetings.
  • Developed and managed up to 50 administrative appeal cases quarterly.
  • Trained and managed new hires in best practices and protocols to ensure maximum productivity.
04/2016 to 11/2017 Accounts Receivable Specialist Universal Health Services | Temple, TX,
  • Audited aging reports to identify delinquent accounts and initiate appropriate collection activity
  • Familiar with state and privatize healthcare insurance plans and regulations
  • Maintained high quality data entry and system processing
  • Processed accurate financial adjustments according to contract pay rates
  • Maintained knowledge of CPT, HCPCS and ICD-10 codes
  • Reviewed accounts on monthly basis to assess aging and pursue collection of funds
  • Tracked contracts, proposals and waivers to keep billing accurate and current
  • Contacted clients with past due accounts to formulate payment and restructuring options
  • Identified, researched and resolved billing variances to maintain system accuracy, applying more than 350 payments per week
  • Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate
  • Prepared and mailed invoices to customers, processed payments and documented account updates
02/2015 to 04/2016 Resolution Specialist Rock Connections | City, STATE,
  • Serviced 100+ inbound and outbound customer service calls. Handled member and provider insurance profiles for Michigan and Illinois
  • Managed member and provider profiles for Michigan and Illinois
  • Worked with customers to understand their requirements and provide exceptional service
  • Submitted formal grievances and documented detailed claim information
  • Informed parties of relevant laws, regulations and constraints for cases
  • Conducted interviews with members, liaisons and any additional relevant groups or individuals
  • Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints
  • Developed team communications and information for monthly meetings
  • Resolved conflicts and negotiated agreements between parties to reach solutions to disagreements and clarify misunderstandings
Expected in 2013 Bachelor of Science | Saginaw Valley State University, Saginaw, MI, GPA:

Universal Standards of Professional Appraisal Practice


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Resume Overview

School Attended

  • Saginaw Valley State University

Job Titles Held:

  • Account Coordinator
  • Administrative Appeal Coordinator
  • Accounts Receivable Specialist
  • Resolution Specialist


  • Bachelor of Science

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