Aaron Nicholson
Chicago,Illinois
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines. Thorough Insurance Clerk with excellent mathematics and communication skills. Adept at filing, data entry and maintaining clean and organized work environment. Talented at maintaining excellent relationships with customers and coworkers.
Overview
14
14
years of professional experience
Work History
Claims Processing Clerk/Client Support Representative
Peletteri & Associates
Lombard, IL
06.2015 - 03.2020
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained confidentiality of patient finances, records and health statuses.
Trainer/Script Writer/Credit Collections Specialist
Rosen Keller & Associates Are
Chicago, IL
04.2012 - 05.2015
- worked 80-100 accounts daily by telephone to collect past due invoices, verify accuracy of charges or to correct account errors.
- Maintained energy and enthusiasm in fast-paced environment.
- Reviewed customer files on regular basis to make sure receivables were in sound condition.
- Prepared reports on current findings and actions taken for accounts under investigation.
Billing /Tier 1 Technical Support Representative
Comcast, Xfinity
Woodridge, IL
07.2009 - 04.2012
- First Call Resolution
- Offered troubleshooting of connectivity issues across networks such as Wi-Fi, Phone & Cable.
- Resolved escalated issues by serving as subject matter expert on wide-ranging issues.
- Managed high levels of call flow and responded to 70-90 calls daily
- Explained billing questions in simple terminology to help users understand.
Medical Claims Analyst
Claim Services Group
Naperville, Illinois
11.2007 - 07.2009
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Reported policy changes and company conditions affecting customer satisfaction.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Reviewed patient 325-450 cases per week and verified insurance coverage information.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Posted payments to accounts and maintained records.
EXPERIENCEEXPERIENCEEXPERIENCEEXPERIENCE
PeopleSoft, Microsoft, Google
11.2007 - 07.2009
- Handled and processed 60-80 claims, managed medical past due for clients (payment plan)
- Determined how claims should be handled, prepared and presented claims to insurance companies
- Resolved past due balances via collecting on delinquent accounts, negotiated with claimants to settle claims
- Billed clients, patients and insurance companies
- Reviewed and researched all claims to answer questions, ensure benefit payments, verify, problem-solve
- Produced written documentation for providers and members to facilitate the resolution of claim issues
- Oracle
- Administrative, Scheduling
- Payroll ADP/ Payroll 1
- On-boarding coach
- Inbound/outbound calls
- Collections, Letter writing
- CMS claim standards
- 150+ calls daily + auto dialer
- EMR Experience
- Medical Claim Payment
- ICD 9/10 & CPT coding
- Insurance/COB verification
- Typing 40 wpm,
- Data Entry-7,000 kp
- Medical manager, C.U.B.S
- Office
- Suite, Contacted and responded to customer questions regarding installment loan contracts, Consistently achieved and regularly exceeded collection letter writing daily goal on 75+ assigned accounts positivly impacting company debit/cash ratio
- Discussed loan contracts, rebuttals, customer payments and deadlines, maintained an audit file for each contract which included original contract, all correspondence, changes, deviations, amendments, and payment schedules
- Develop an audit file management approach with skip tracing skills so effective I was able to successfully close previous cases categorized as “unrecoverable”
- Review 2-3 calls with each employee and grade the calls together
- Trained or coached all employee's ,Recorded Voice over for the auto dialer, Revised Most of the company's Scripts
- Customer Billing & Hardware, Tech (Internet, Cable, Phone)
- Provided inbound call support for all equipment, billing/payment, video, internet application support which included identifying and upselling customers on additional services
- Managed collections, set up repayment plans and maintained files on the financial status of customer accounts
- Disconnected services if account remained unpaid, prepared statements for credit department \
- Trouble Shooting, one call resolution, product knowledge,
- Handled inbound and outbound calls to customers regarding updates to accounts
- Responsible for resolving customer service issues and assisting customers with opening new accounts
- Recorded payment and other pertinent customer information
- Product knowledge, first call resolution, C.O.B
- Processer, insurance verification
Education
GED -
LINCOLNS CHALLENGE ACADEMY
Rantoul, IL01.2003
CERTIFICATE - MEDICAL OFFICE SPECIALIST
FIRST CHOICE
Aurora, IL04.2004
Skills
- Computer skills Customer service
- Interpersonal skills Leadership
- Management skills Problem-
- Solving Time management
- ADDITIONAL SKILLSADDITIONAL SKILLSADDITIONAL SKILLSADDITIONAL SKILLS
- Olympia College, Aurora, Illinois
- 2006 Medical Office
- Administrative Specialist
- Claims
- Claims review
- Transactions reconciliation
- Account management
- Data integrity
- Insurance industry experience
- Patient contact
- Insurance coverage verification
- Understanding of medical terms
- Documentation abilities
- Great mathematical skills
- Clerical Support
- Multitasking Abilities
- G-Suite
- Proficient in CUBS, Peoplesoft, Oracle,Microsoft Office
- ICD 9/10 & CPT Coding
- Payroll ADP
- EMR Experience
Additional Information
- CERTIFICATIONSCERTIFICATIONSCERTIFICATIONSCERTIFICATIONS CUSTOMER SERVICE SATISFACTION/SUPPORTCUSTOMER SERVICE SATISFACTION/SUPPORTCUSTOMER SERVICE SATISFACTION/SUPPORTCUSTOMER SERVICE SATISFACTION/SUPPORT , AARO NA A
- requestReferences available upon requestReferences available upon requestReferences available upon request
Timeline
Claims Processing Clerk/Client Support Representative
Peletteri & Associates
06.2015 - 03.2020
Trainer/Script Writer/Credit Collections Specialist
Rosen Keller & Associates Are
04.2012 - 05.2015
Billing /Tier 1 Technical Support Representative
Comcast, Xfinity
07.2009 - 04.2012
Medical Claims Analyst
Claim Services Group
11.2007 - 07.2009
EXPERIENCEEXPERIENCEEXPERIENCEEXPERIENCE
PeopleSoft, Microsoft, Google
11.2007 - 07.2009
GED -
LINCOLNS CHALLENGE ACADEMY
CERTIFICATE - MEDICAL OFFICE SPECIALIST
FIRST CHOICE
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