Amber Carl
Warren,MN
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
20
20
years of professional experience
Work History
Insurance Clerk
North Valley Health Center
Warren, MN
09.2024 - Current
- Collaborated with fellow team members to manage large volume of claims.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Organized information by using spreadsheets, databases or word processing applications.
- Corresponded with insured or agent to obtain information or inform of account status or changes.
- Assisted claimants, providers and clients with problems or questions regarding claims.
Insurance and Billing Specialist
Family Eye Care
Grand Forks, ND
12.2022 - 08.2024
- In my position at Family Eye Care I verify all medial and vision insurance benefits and check vision eligibility.
- I audit the toll from the day before and audit all patient information to make sure addresses, phone numbers and personal information is accurate.
- I verify all billing information to make sure it is accurate before I create HCFAs send out the claims.
- I receive and post all incoming payments and inquire at any denials we receive.
- I keep track of all outstanding claims that have not been paid yet and check the status of those claims.
- I also get outstanding bills ready and send statements out twice a month.
- I also order and receive all contact lens orders.
Administrative Assistant
Grand Forks Clinic
Grand Forks, ND
12.2021 - 12.2022
- I work closely with the office manager and help her with tasks she does not have time for.
- I add up all timecards for all hourly employees every two weeks, keep track of specific data, reconcile receipts, count the cash drawer.
- I am the go-to person for the Front desk when they have questions on an insurance or it's benefits or how much to collect from a patient.
- I do not do the insurance verification unless my help is needed in which case, I have all the access and knowledge to help.
- I answer all incoming patient questions regarding any billing/insurance questions.
- We have a specific company who sends and receives claims but when they have questions regarding a claim issue, they contact me to help get it resolved.
- Other misc. administrative duties such as opening and distributing mail, printing out all payments for the year at the request of patients and mailing out, running payments, posting aesthetic payments to the patients' account.
A/R Specialist
Altru Health
Grand Forks, ND
02.2021 - 11.2021
- In this position we follow up on all claims that haven't had insurance activity in the last month.
- We also check denials and fix them and check claim statuses of all claims in our work ques.
Medical billing and insurance specialist-Receptionist
VALLEY VISION CLINIC
Grand Forks, ND
05.2016 - 12.2020
- Created HCFAs to submit to insurance.
- Submitted all claims to the clearinghouse.
- Received all electronic/ paper payments/non-payments and apply to patients account.
- Followed up on denied/rejected claims.
- Contacted patients to get correct insurance information if I am unable to find it online.
- 2 years of receptions specifically (including certain insurance verification) then next 3 years I did the insurance medical billing and insurance and filled in reception when needed.
- Ordered all office supplies.
Medical Billing/Insurance Specialist
family chiropractic
06.2014 - 05.2016
- Billing insurance.
- Sending and receiving claims, answering phones, opening and distributing mail, organized work station.
- Scheduling.
cashier/cook
Cenex convince store
04.2006 - 07.2014
- Cashier work, working with the public, answering phones, taking orders, making orders.
- Nightly cleaning.
Skills
- Number-savvy
- Background in insurance
- Records management
- Billing information collection
- Insurance verification
- Claim processing
- Document review
- Office administration
Timeline
Insurance Clerk
North Valley Health Center
09.2024 - Current
Insurance and Billing Specialist
Family Eye Care
12.2022 - 08.2024
Administrative Assistant
Grand Forks Clinic
12.2021 - 12.2022
A/R Specialist
Altru Health
02.2021 - 11.2021
Medical billing and insurance specialist-Receptionist
VALLEY VISION CLINIC
05.2016 - 12.2020
Medical Billing/Insurance Specialist
family chiropractic
06.2014 - 05.2016
cashier/cook
Cenex convince store
04.2006 - 07.2014