Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,

Highly efficient Medical Biller with experience in family practice, dermatology and nursing home. Excellent multi-tasker and demonstrated team player with positive attitude. Skills in eClinicalWorks programs.

  • Files and records management
  • Bill payment
  • Generally Accepted Accounting Principles (GAAP)
  • Quality-oriented team player
  • Insurance claims
  • Training and development
  • Medical coding understanding
  • Claim review
  • Submission of medical claims
  • Information inputting
  • Reimbursements
  • Recordkeeping
  • Insurance collections
  • ICD-10 coding
  • CPT code modifiers
  • Billing codes
01/2018 to Current Medical Billing Specialist Cvs Health | Hyannis, MA,
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Completed appeals and filed and submitted claims.
  • Posted and adjusted payments from insurance companies.
  • Collaborated closely with other departments to resolve claims issues.
  • Applied payments, adjustments and denials into medical manager system.
  • Posted charges, payments and adjustments.
  • Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
  • Submitted refund requests for claims paid in error.
  • Precisely completed appropriate paperwork and system entry regarding claims.
02/2021 to 05/2021 Sales Associate Music And Arts | Wood Dale, IL,
  • Built trusting relationships with customers by making personal connections.
  • Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
  • Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
  • Coached team members on security risks and loss prevention to aid in mitigating store theft.
  • Worked with fellow sales team members to achieve group targets.
  • Met merchandise processing standards and maintained organized and accessible work area.
  • Built and maintained effective relationships with peers and upper management to drive team success.
  • Answered incoming telephone calls to provide store, products and services information.
  • Retained product, service and company policy knowledge to serve as resource for both coworkers and customers.
09/2017 to 02/2018 Call Center Agent Parexel | Blountstown, FL,
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Corrected issues by giving agents targeted and highly constructive feedback.
  • Taught agents successful strategies for positively influencing customer experiences, maintaining control of call flow and de-escalating conflicts.
  • Resolved inquiries to consistently meet performance benchmarks, including speed, accuracy and volume.
  • Trained new employees on processes to promote efficiency and productivity team-wide.
  • Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.
08/2016 to 09/2017 Deli Associate Gpm Investments | Palmyra, VA,
  • Followed recipes and customer requests to prepare high-quality, delicious meals.
  • Received new inventory and rotated stock by dates to keep items fresh and usable.
  • Made orders by slicing, weighing, packaging and pricing meats and cheeses.
  • Communicated effectively with deli counter customers to answer questions and make recommendations.
  • Cross-trained in other kitchen positions to support team and meet customer needs.
  • Worked with customers placing large or specialized orders, providing samples and recommendations and responding to requests.
  • Answered telephone inquiries about available menu items, products and services and delivered appropriate information so customers could make valid choices.
  • Updated displays, cases and other customer-facing areas to increase sales of special items.
  • Assessed customer needs, including food allergies and suggested additional menu items as appropriate.
  • Stored perishable food items in freezer or refrigerator to protect from spoilage.
  • Stayed calm and professional in all situations and resolved conflicts to customer satisfaction.
  • Sanitized and kept work areas tidy by cleaning surfaces, equipment and floors, removing trash and maintaining machinery.
Education and Training
Expected in 06/2014 High School Diploma | Cape Fear High School, Fayetteville, NC GPA:
Expected in 05/2016 Associate of Applied Science | Criminal Justice Fayetteville Technical Community College, Fayetteville, NC GPA:
Expected in 07/2021 Certification | Medical Billing & Coding Southwestern Community College, Sylva, NC GPA:
Expected in Bachelor of Science | Criminal Justice University of North Carolina At Pembroke, Pembroke, NC GPA:
Expected in Associate of Applied Science | Nursing Sampson Community College, Clinton, NC GPA:

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School Attended

  • Cape Fear High School
  • Fayetteville Technical Community College
  • Southwestern Community College
  • University of North Carolina At Pembroke
  • Sampson Community College

Job Titles Held:

  • Medical Billing Specialist
  • Sales Associate
  • Call Center Agent
  • Deli Associate


  • High School Diploma
  • Associate of Applied Science
  • Certification
  • Bachelor of Science
  • Associate of Applied Science

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