Medical Insurance Coordinator Resume Example Phenix City Spine And Joint Center

MEDICAL INSURANCE COORDINATOR

Career Overview

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

Core Strengths

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

Resume Overview

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School Attended

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Degrees