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Medical Insurance Coordinator Resume Example

Resume Score: 80%

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MEDICAL INSURANCE COORDINATOR
Career Overview

Dedicated Customer/ Office Service Representative motivated to maintain customer satisfaction and contribute to company success.

Core Strengths
  • Strong organizational skills
  • Active listening skills
  • Sharp problem solver
  • Energetic work attitude
  • Medical coding
  • Skilled negotiator


    • Computer proficiency
    • Data entry
    • Data collection
    • Scheduling
    • Strong interpersonal and communication skills
    Accomplishments

    • Worked with company systems such as Live Support and diligently completed all assigned tasks, working overtime as needed.
    • Researched, calmed and rapidly resolved client conflicts to prevent loss of key accounts.
    • Greeted customers upon entrance and handled all cash and credit transactions.
    • Assisted in the managing of the company database and verified, edited and modified members' information.
    Work Experience
    Medical Insurance Coordinator09/2015 to CurrentPhenix City Spine and Joint CenterPhenix City, AL
    • Identify and resolve patient billing
    • Review and correct medical invoices
    • Handle eligibility verification, denial resolution, and EOB reconciliation.
    • Process claims using ICD 10 codes and correct modifiers.
    • Maintain Medical records for patients and Attorneys
    • Created monthly reports for records, closed terminated records and completed chart audits.
    • Respond to patient and attorney inquires by phone and email.
    • Schedule appointments and procedures.
    Customer service Rep II04/2015AflacColumbus, Ga
    • Explained premiums owed to policyholders, agents and underwriters
    • Obtained all necessary information to complete proper evaluation of injury claims.
    • Reviewed data to verify the validity of claims.
    • Processed applications, payments, corrections, endorsements and cancellations.
    • Presented and clearly explained insurance policy options to clients based on their needs and goals.
    Customer Service Rep I01/2014 to 12/2014AnthemColumbus, GA
    • Coded claims forms and mediated disputes between carriers and clients.
    • Processed applications, payments, corrections, endorsements and cancellations.
    • Researched coverage and premium options and supplied clients with the best coverage available.
    • Presented account proposals in a professional and timely manner.
    Collection Agent12/2012 to 11/2013Total SystemsColumbus, GA
    • Developed highly empathetic client relationships and earned reputation for exceeding sales goals.
    • Reduced past due accounts by educating clients on programs to bring accounts current.
    • Made reasonable procedure exceptions to accommodate unusual customer requests.
    • Provided accurate and appropriate information in response to customer inquiries.
    Educational Background
    Advanced/ Techincal Dipolma 2010Central High School
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    Resume Overview

    Companies Worked For:

    • Phenix City Spine and Joint Center
    • Aflac
    • Anthem
    • Total Systems

    School Attended

    • Central High School

    Job Titles Held:

    • Medical Insurance Coordinator
    • Customer service Rep II
    • Customer Service Rep I
    • Collection Agent

    Degrees

    • Advanced/ Techincal Dipolma 2010

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