A position in an insurance or medical environment utilizing analytical, research, problem-solving and customer service skills to enhance company operations. A dedicated and motivated employee with over 20 years of experience in area of Accounts Receivables, Patient and Insurance Collections, and Insurance Verification in a medical business office environment. Thorough knowledge of insurance terminology, understanding of benefit plan types (PPO, EPO, HMO, ect) and claims processing based on plan. Admirable experience in the processing of claims for Commercial, Governmental, and other third-party payers and/or insurances; strong analytical, problem-solving and verbal/written communication skills; experience in auditing, researching and investigative abilities of claims denials and appeal levels.
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Administrative, benefits, billing, customer service, documentation, e-mail, Insurance, Microsoft Excel, Microsoft Outlook, Microsoft Power Point, Microsoft Windows, network, coding, Research, structured, supervision, telephone, knowledge of medical terminology, navigation of insurance websites, immense ability to resolve claim denials and other related insurance companies issues
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