FINANCE PROG OFFICER/ REIMBURSEMNT INSURANCE SUPER Resume Example
Experience claim biller with over 30 years of experience in Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements. Consistently saved costs while increasing profits. Enthusiastic Supervisor eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of insurance and finance and training in medical claim filing. Motivated to learn, grow and excel in medical . Multi-talented supervisor consistently rewarded for success in planning and operational improvements. Experience in policy development and staff management procedures positively impacting overall morale and productivity. Reimbursement supervisor with over 30 years of successful experience in claim fling. . Recognized consistently for performance excellence and contributions to success in medical industry. Strengths in team leadership and finance backed by training in Medicare and insurance senior position and outstanding performer in reimbursement . Proven success in leadership, operational excellence and organizational development with keen understanding of elements of medical business. Recognized for inspiring management team members to excel and encouraging creative work environments.
- Contributed to team results in fast-paced Behavioral Health environments..
- Completed clerical tasks such as filing, copying and distributing mail.
- Assisted all staff with reimbursement responsibilities.
- Performed administrative duties, including finance and balancing .
- Followed all policies, regulations, dress codes and schedules.
- Supported needs of reimbursement staff with skill and efficiency.
- Drove operational improvements which resulted in savings and improved profit margins.
- Implemented improvements in manual and electronic billing procedures.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Tracked progress of all outstanding insurance claims.
- Contributed ideas and offered constructive feedback at weekly sales and training meetings.
- Conducted annual reviews of existing policies to update information.
- Provided high level of assistance to all staff helping with review, classification, coding and rating of applications.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Worked with customers to develop payment plans and bring accounts current.
- Reviewed billing problems, researched issues and resolved concerns.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
- Improved accounts payable processes and achieved
- Promoted consistent accuracy of billing information
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Provided information to customers regarding insurance and benefits
- Cultivated customer loyalty, promoted repeat customers and improved sales.
- Fielded customer questions regarding benefit and policy information
- Provided primary customer support to internal and external customers in fast-paced environment.
- Answered constant flow of customer calls with up to 110 ] calls in queue per minute.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Achieved and consistently exceeded revenue quota through product and service promotion during routine calls.
- Educated customers on their medical and dental policies
- Regularly exceeded daily quotas.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Settlement determinations
- Coverage assessments
- Documentation review
- Data Analysis
- Benefits review
- Policy renewal
- Life and health insurance products
- Policy quoting and pricing
- Relationship Building
- Award-winning sales professional
- Client acquisition expert
- Proactive team player
- Policy coverage expert
- Quality Assurance
- Policy Development
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Resume Overview
School Attended
- Shattuck High School
Job Titles Held:
- FINANCE PROG OFFICER/ REIMBURSEMNT INSURANCE SUPER
- BILLING MANAGER
- Customer Service Representative
Degrees
- High School Diploma
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