Claims Processor Resume Earth City, MO - Hire IT People

SUMMARY:

Energetic self starter with over 9 years’ experience with patient accounts and administrative duties
Highly motivated and organized
Able to manage tight deadlines and adapt to changing demands
Work well independently or within a team setting
Outgoing, compassionate professional able to build rapport with people from diverse backgrounds
Trained on system such as Epic/ Stars/ AS400/ SSI/ and more
Skilled in Insurance Follow - up/ Claims Processor/ Customer Service

PROFESSIONAL EXPERIENCE:

Claims Processor

Confidential - Earth City, MO

Benefits Eligibility Specialist

Confidential - Saint Louis, MO

Claims Processor

Confidential - Earth City, MO

Internal Medical Review Coordinator

Confidential - Hazelwood, MO

Insurance Verification Representative

Confidential - Frisco, TX

Offered excellent customer service
Effective correlated patient benefits with physician offices and insurance carriers
Verified eligibility of coverage through IVR, physician offices, and other online websites
Knowledge of medical terminology, CPT, ICD-9, and J codes
Effectively communicated correspondences via email, fax, and certified letters

Patient Service Representative

Confidential - St. Louis, MO

Offered excellent customer service
Effective correlated patient benefits with physician offices and insurance carriers
Resolved accounts that was greater than 365 days delinquent
Processed claims within timely filing
Updated demographics and posted payments
Effective process rejected claims/ process written appeals with supporting documentation
Verified eligibility of coverage through IVR, physician offices, and other online websites
Knowledge of medical terminology, CPT, ICD-9, HCPCS, and J codes
Effectively communicated correspondences via email, fax, and certified letters

Patient Accounts Representative

Confidential - St. Louis, MO

Patient Advocate

Confidential - St. Louis, MO

Offered excellent customer service
Coordinated prescription deliveries and refills for patients
Analysis issues and route to the correct department
Coordinated patient's care with physician offices, nurses, pharmacists, and patients
Provided Pharmacy Benefits Management Verification through system

Medical Secretary

Confidential - St. Louis, MO

Offered excellent customer service
Greeted and provided intake services for all patients
Verified and updated insurance, arranged charts and paperwork for next day appointments
Created invoices for patient's billing
Answer multi-line phone systems scheduling appointments in a professional manner
Effectively communicated correspondence via email, fax, and certified letters
Operating knowledge of copier, scanner, and fax machine
Processed and distributed incoming and outgoing mail