, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
Professional Summary
Experienced Healthcare Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering four years of experience and willingness to take on any challenge.
Skills
Coverage assessments
Settlement determinations
Documentation Review
Claims Adjustments
Work History
Claims Specialist, 03/2020 to Current American Modern Insurance Group – Valley Forge, PA,
Maintained confidentiality of patient finances, records and health statuses.
Coordinated with contracting department to resolve payer issues.
Communicated verification and authorization status updates with Utilization and Management department to facilitate decision-making for patient admissions and insurance coverage.
Server Part Time, 01/2020 to Current Watermark Retirement Communities – Herriman, UT,
Arranged tables for customers, following established preparation procedures to provide guests with excellent experiences and foster repeat business.
Collaborated with kitchen team to support order preparation, manage efficient deliveries and minimize customer service issues by verifying meals.
Created orders, documented special requests and followed up with kitchen personnel to foster top-quality service and minimize complaints.
Title Clerk, 11/2019 to 02/2020 Holiday Inn Club Vacations – Brownsville, VT,
Organized and prepared tax and title documents to transfer ownership of property.
Posted titling transactions and monitored corresponding schedules, using Excel.
Prepared tax and title documents to submit all legal transfer work to DMV.
Banquet Server, 06/2018 to 08/2019 Grand Casino – Foxtrot Marketing, MN,
Maintained customer satisfaction with timely table check-ins to assess food and beverage needs.
Executed synchronized meal service simultaneously serving multiple guests with speed and efficiency.
Collected credit card, cash and gift certificate payments and dispensed change for cash transactions.
Inside Sales Representative, 06/2016 to 05/2017 Resideo Technologies, Inc. – Indianapolis, IN,
Showcased product features to customers and discussed technical details to overcome objections and lock in sales.
Collected information on sales and service issues to provide effective resolutions.
Surpassed sales targets by 70%.
Retention Specialist, 01/2016 to 06/2016 Cano Health – Palm Bay, FL,
Reviewed successes and failures to learn from previous mistakes.
Adhered to appropriate legal scripting when required.
Coordinated implementation of people-related services, policies and programs through departmental staff.
Communicated with patients, ensuring that medical information was kept private.
Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
Discussed medical histories with patients in effort to provide most effective medical advice.
Health Insurance Consultant, 10/2013 to 03/2015 21St Century Oncology – Lompoc, CA,
Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
Remained impartial in order to advise clients based on circumstances.
Legal Administrative Assistant, 04/2011 to 08/2014 W. Benjamin McClain Jr., Attorney At Law LLC – City, STATE,
Maintained organized office and case-specific paper and digital files for easy tracking and retrieval.
Managed accounts and client records of clients, observing confidentiality and extreme discretion.
Generated pleadings and other legal documents for review by attorneys and paralegals.
Senior Inbound Customer Service Specialist, 03/2011 to 02/2012 Gannett – City, STATE,
Greeted customers and listened closely to problems described to determine solutions.
Resolved customer service issues using company processes and policies and provided updates to customers.
Maintained up-to-date knowledge of product and service changes.
Billing Specialist, 09/2005 to 09/2008 TeleTech Holdings – City, STATE,
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
Education
Associate of Science: Legal Studies, Expected in 05/2012 Brown Mackie College - Greenville, SC, GPA:
Graduated with 3.8 GPA
Graduated magna cum laude
Member of National Technical Honors Society
Skills
Coverage assessments
Settlement determinations
Documentation Review
Claims Adjustments
Work History
Claims Specialist, 03/2020 to Current Morley Companies – Greenville, SC
Maintained confidentiality of patient finances, records and health statuses.
Coordinated with contracting department to resolve payer issues.
Communicated verification and authorization status updates with Utilization and Management department to facilitate decision-making for patient admissions and insurance coverage.
Server Part Time, 01/2020 to Current Cheddar's Scratch Kitchen Darden Restaurants – Greenville, SC
Arranged tables for customers, following established preparation procedures to provide guests with excellent experiences and foster repeat business.
Collaborated with kitchen team to support order preparation, manage efficient deliveries and minimize customer service issues by verifying meals.
Created orders, documented special requests and followed up with kitchen personnel to foster top-quality service and minimize complaints.
Title Clerk, 11/2019 to 02/2020 Find Great People – Greer, SC
Organized and prepared tax and title documents to transfer ownership of property.
Posted titling transactions and monitored corresponding schedules, using Excel.
Prepared tax and title documents to submit all legal transfer work to DMV.
Banquet Server, 06/2018 to 08/2019 Express Professionals – Greenville, SC
Maintained customer satisfaction with timely table check-ins to assess food and beverage needs.
Executed synchronized meal service simultaneously serving multiple guests with speed and efficiency.
Collected credit card, cash and gift certificate payments and dispensed change for cash transactions.
Inside Sales Representative, 06/2016 to 05/2017 Spectrum – Simpsonville, SC
Showcased product features to customers and discussed technical details to overcome objections and lock in sales.
Collected information on sales and service issues to provide effective resolutions.
Surpassed sales targets by 70%.
Retention Specialist, 01/2016 to 06/2016 Concentrix – Greenville, SC
Reviewed successes and failures to learn from previous mistakes.
Adhered to appropriate legal scripting when required.
Coordinated implementation of people-related services, policies and programs through departmental staff.
Hospice Coordinator, 03/2015 to 01/2016 Allcare Medical – Greenville, SC
Communicated with patients, ensuring that medical information was kept private.
Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
Discussed medical histories with patients in effort to provide most effective medical advice.
Health Insurance Consultant, 10/2013 to 03/2015 CONCENTRIX – Greenville, SC
Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
Remained impartial in order to advise clients based on circumstances.
Legal Administrative Assistant, 04/2011 to 08/2014 W. Benjamin McClain Jr., Attorney At Law LLC – Greenville, SC
Maintained organized office and case-specific paper and digital files for easy tracking and retrieval.
Managed accounts and client records of clients, observing confidentiality and extreme discretion.
Generated pleadings and other legal documents for review by attorneys and paralegals.
Senior Inbound Customer Service Specialist, 03/2011 to 02/2012 Gannett – Greenville, SC
Greeted customers and listened closely to problems described to determine solutions.
Resolved customer service issues using company processes and policies and provided updates to customers.
Maintained up-to-date knowledge of product and service changes.
Billing Specialist, 09/2005 to 09/2008 TeleTech Holdings – Greenville, SC
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
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