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Insurance Follow-Up Representative Resume Example

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M
INSURANCE FOLLOW-UP REPRESENTATIVE
Summary

Self-motivated Insurance Verification and Follow-up Specialist proudly offering over five years' experience building an understanding of medical terminology while tracking patient coverage. A poised professional with benefits explanation and administration expertise. Offering time management and interpersonal skills. Military background offers years of experience working directly with people from severalparts of the world. Proficient at defining personnel requirements in a timely manner while upholding a top quality work ethic, skilled in dealing with stressful situations and making the best decision to assist everyone. A dedicated, resourceful, motivated, energetic and goal oriented professional. Successful in learning and comprehending new computer systems and methods.

Skills
  • Secure data practices
  • Electronic authorization processing
  • Insurance plan verification
  • Mentoring and training
Experience
Insurance Follow-Up Representative
Oakland , ME
Central Maine Medical Center/Sep 2014 to Current
  • Ensured that all patient and insurance data was updated regularly and carefully inputted into the company's computer system.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Ensured that appropriate coding is managed to maximize efficiency.
  • Handled billing related activities focused on medical specialties.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
  • Trained internal staff members on administrative processes, work instructions and procedures to facilitate consistent and seamless company operations.
Military Enlisted
Albany , OR
Concept Systems Inc./Nov 2016 to Jun 2018
  • Unit Yeoman assisting in creating and routing 30 personnel evaluations from Enlisted to Officers.
  • Drilled once a month completed a total of four days in reserve status.
Project Manager
City , STATE
Bell & McCoy Lighting And Controls/Jul 2012 to Mar 2014
  • Maintained close connection with project personnel to quickly identify and resolve problems.
  • Produced status reports for customers and senior management.
  • Updated project plans based on changing objectives, specifications and staff availability.
  • Made changes to project scope and cost and implemented most effective change management processes to keep project up-to-date.
  • Trained and coached key team members on production techniques to establish expectations and ensure compliance with quality guidelines.
  • Inspired team members by fostering positive environment and boosting employee confidence.
  • Established and cultivated professional working relationships, which proved highly effective during store construction.
  • Brought projects in on-time and in accordance with budget and quality standards.
Military Enlisted
City , STATE
United States Navy/May 2005 to Aug 2008
  • Correspondence Clerk

- Assisted in training junior personnel on the Yeoman rate.

- Managed command admin log books to keep up the flow of correspondence between Officers, the Maintenance Department and the Commanding Officer.

- Maintained and updated command instructions and notices for Maintenance Department.

- Deployed on the U.S.S. Abraham Lincoln (CVN-72) from March 2006-August 2006 and received recognition awards and advancement in rate.

  • Maintenance Administration Clerk

- Improved clerical duties supporting 160 maintenance personnel.

- Assisted the training Petty Officer, distributing monthly information concerning the commands four aircrafts.

- Drafted, routed, filed and distributed Official Maintenance instructions to 15 work centers.

- Distributed weekly work center day and night schedules in a timely manner.

  • Travel Clerk

- Familiarized with Defense Travel System (DTS) used by the U.S. Navy around the world.

- Managed a budget of $280K and over 200 government credit card accounts.

- Governed command business travel and completed travel claims for each member resulting in a 100% decrease of government travel card deliquencies.

- Arranged business travel for military Officers and military Enlisted for training purposes.

- Trained three personnel on all aspects of the travel department and instructions for completing and filing travel orders.

Education and Training
Some College (No Degree): General StudiesLone Star College SystemCity, State
Some College (No Degree): General StudiesColumbia CollegeCity

Attended classes upon separation from the military.

Some College (No Degree): General StudiesSan Juan CollegeCity, State

Attended college while waiting to depart for basic training for the U.S. Navy.

Some College (No Degree): Pre-MedicineLa Sierra UniversityCity, State

Completed 41 college credits while attending.

High School DiplomaHolbrook Seventh-day Adventist Indian SchoolMay 2003City
  • Honor Society Member
  • Maintained a 3.6 GPA throughout high school.
  • Took responsibility as Class President for all four years of high school.
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Resume Overview

School Attended

  • Lone Star College System
  • Columbia College
  • San Juan College
  • La Sierra University
  • Holbrook Seventh-day Adventist Indian School

Job Titles Held:

  • Insurance Follow-Up Representative
  • Military Enlisted
  • Project Manager

Degrees

  • Some College (No Degree) : General Studies
    Some College (No Degree) : General Studies
    Some College (No Degree) : General Studies
    Some College (No Degree) : Pre-Medicine
    High School Diploma

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