Seasoned Medical Insurance Specialist with excellent planning and problem solving abilities. Offering 20+ years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.
Skills
Insurance claims management
ICD-10 coding
Insurance collections
Insurance claims
Front desk operations
Referral verification
Education and Training
Jordan Vocab Columbus, GA, Expected in 01/1993 – –GED: - GPA:
Experience
Atria Senior Living Group, Inc. - Private Child Caregiver Fort Worth, TX, 06/2020 - Current
Organized and planned age-appropriate lessons involving reading, crafts, music and movement.
Balanced schedules to provide optimal rest, play and educational periods.
Enforced rules to teach manners and maintain safe environment.
Helped prepare meals, snacks and refreshments for children and accounted for individual dietary needs and restrictions.
Discussed new developments, misbehavior and concerns with parents or guardians.
Secured indoor and outdoor premises to protect children under care.
Led children in tidying up, handwashing and toileting to teach responsibility.
Delivered direct, supervised care to groups of children between ages 1 and 8.
International Bancshares Corp - Customer Service Representative Lawton, OK, 06/2019 - 06/2020
Informed customers about billing procedures, processed payments and provided payment option setup assistance.
Documented conversations with customers to track requests, problems and solutions.
Asked probing questions to determine service needs and accurately input information into electronic systems.
Fielded customer complaints and queries, fast-tracking them for problem resolution.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Handled billing related activities focused on medical specialties.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
Checked documentation for appropriate coding, catching errors and making revisions.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Examined claims, records and procedures to grant approval of coverage.
Updated patient financial information to promote accurate record keeping.
Kaiser Permanente - Office Assistant Honolulu, HI, 02/2016 - 08/2018
Coordinated vendors, timelines and budgets for events.
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