reimbursement specialist resume example with 2+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Professional Summary

Positive and upbeat Customer Service Specialist bringing 7 years of customer-facing experience in a fast-paced setting. Highly adaptable to diverse customer needs. Proven history of building trust with customer to promote satisfaction, resolve concerns, and maintain long-term loyalty.

  • Customer Contact
  • Organization and efficiency
  • Multi-line telephone skills
  • Project Organization
  • 1+ year of phlebotomy experience
  • Customer Service
  • Issue Resolution
  • Bilingual (spanish & english)
  • Word Processing
  • Data Analysis and Organization
  • Work Coordination
  • Microsoft Office
  • Team Collaboration
  • Billing Document Creation
  • Decision Making
Work History
Reimbursement Specialist, 09/2021 - Current
Francisan Health Chicago Heights, IL,
  • Prevented delays and claim denials by correcting information prior to submission.
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
  • Helped minimize escalations by reaching out to clients in advance of expected problems.
  • Created documents in accordance with payer guidelines and submitted to appropriate parties.
  • Built proactive, client-specific edits into system to prevent future denials.
  • Monitored and documented accounts receivable trends and account-specific profitability.
  • Contributed knowledge to help improve financial management, billing and tracking systems.
  • Employed clinical and billing codes expertise to correct billing inconsistencies.
  • Followed up on denied and unpaid claims to resolve problems and obtain payments.
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Compiled department-specific reports to help senior managers identify trends and improve progress.
  • Collected data to complete detailed financial reports for stakeholders and management.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Generated accounts payable reports for management review to aid in financial and business decision making.
Phlebotomy Technician/Medical Assistant, 05/2020 - 08/2021
Any Lab Test Now City, STATE,
  • Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
  • Followed physician orders to correctly administer therapeutic phlebotomy.
  • Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
  • Centrifuged blood samples as outlined in clinical protocols.
  • Stocked phlebotomy cart or carrier with appropriate supplies.
  • Drew blood from veins by vacuum tube, syringe or butterfly venipuncture methods.
  • Assembled tourniquets, needles and blood collection devices to prepare work trays.
  • Enforced infection control and sharps disposal procedures to protect patients, co-workers and self.
  • Coordinated workflow based on STAT, SCHEDULE, or OUTPATIENT need's.
  • Obtained blood specimens by performing venipunctures and finger sticks 50 times per day
  • Resolved unusual test orders by contacting physicians, nursing stations or reference laboratories.
  • Tracked collected specimens by initialing, dating and noting times of collection.
  • Performed bedside tests like bleeding time tests and entered results into patient charts.
  • Assisted with office procedures by monitoring patient flow, performing telephone screening and maintaining sample drug lists.
  • Spoke with patient to gather information for lab records, reduce fear or anxiety and optimize cooperation.
  • Reviewed patient records for accuracy and completeness.
  • Monitored patients for reactions and verified sample quality.
  • Packaged and shipped specimens to central lab daily.
Childcare Caregiver, 09/2019 - 01/2020
Kids And Company Academy City, STATE,
  • Recorded information about behavior, food served, and medications administered.
  • Observed and monitored play time to identify developmental strengths and target areas for enrichment activities.
  • Cleaned toys, play equipment, dished and other surfaces to keep facility sanitary.
  • Enforced rules to teach manners and maintain safe environment.
  • Developed and implemented lesson plans based on ages and abilities of class children.
  • Taught children how to complete basic crafts such as paintings, drawings, and decorations.
  • Incorporated music and art activities to encourage creativity and expression.
Loaner Department, 03/2019 - 09/2019
Lexus City, STATE,
  • Reduced waste by overseeing proper restocking procedures and promotion of nearly-expired goods.
  • Created agendas and communication materials for team meetings.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Attended departmental meetings, providing feedback to enhance future performance.
  • Worked closely with team members to deliver project requirements, develop solutions, and meet deadlines.
  • Earned reputation for good attendance and hard work.
  • Recognized by management for providing exceptional customer service.
  • Provided excellent service and attention to customer when face-to-face or though phone conversations.
No Degree: Current, Expected in 08/2023
Valencia College - Orlando, FL
Status -
Certificate : Phlebotomy, Expected in 02/2020
It of Central Florida - Orlando, FL,
Status -
High School Diploma: , Expected in 05/2019
Colonial High School - Orlando, FL
Status -
Spanish :
Native or Bilingual:
Negotiated :

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Resume Overview

School Attended

  • Valencia College
  • It of Central Florida
  • Colonial High School

Job Titles Held:

  • Reimbursement Specialist
  • Phlebotomy Technician/Medical Assistant
  • Childcare Caregiver
  • Loaner Department


  • No Degree
  • Certificate
  • High School Diploma

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