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Healthcare administrative professional with a proven track record of consistently exceeding goals.
Excellent listening, verbal communication and interpersonal skills to work well with patients, colleagues and insurance providers.
Outstanding knowledge of medical terminology, as well insurance billing and coding.
Solid time management, attention to detail and organizational skills, including prioritizing tasks.
Willing to telecommute.
Appeals Specialist/Financial Services Representative, Parallon Largo, XXXXXX Jan. 2015-Present
Communicate with insurance company representative to resolve denied claims.
Work with guarantors to secure payment on account balances outstanding due to clinical reasons.
Research and identify coding errors, correct as necessary and resubmit unpaid claims to insurers.
Verify correct account balances before transferring remaining financial responsibility to the patient.
Analyze submitted claims and follow up on outstanding balances to recover cash as soon as possible.
Review adjudicated claims for timely and correct payment of outstanding balances.
Display strong attention to detail and organizational skills to document all communications.
Part-Time Customer Service Representative, Regal Entertainment Group Xxxxxx Park, XXXXXX 2013-Present
Working part-time at this movie theater; provide outstanding service to movie goers.
Insurance Customer Service Representative, Bayfront Medical Center St. Petersburg, XXXXXX 2006-2012
Registered patients for multiple departments at this 480-bed acute care hospital.
Trained 10 new hires annually on best practices of operations.
Verified insurance of patients and processed insurance claims with carriers, include posting incoming payments from patients and carriers and adjusting accounts according to benefit explanations.
Researched billing and revenue codes, as well as incorrect policy numbers, medical records and itemized bills if hospital claim payments were not received.
Calculated adjustments and payments in an accurate, timely and efficient manner.
Senior Service Associate, Franklin Templeton Investments St. Petersburg, XXXXXX 1999-2005
Began tenure as a Customer Service Representative and was promoted to the Trade Control Department.
Recognized with letter of commendation from the Senior Vice President and President for performance.
Honored as a top performer with the Trade Control Team also earned top-rated call performance, scoring 5 out of 5 for the Retirement Services Department.
Registrar, St. Anthony s Hospital and Citrus Memorial Hospital
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