Completes billing and posting payments for commercial health insurance.
Troubleshoots billing errors and payment denials.
Process payments from clients via the phone.
Adheres to ND Century Code and HIPPA.
Processes Outside Medical Charges from facilities.
Enter's charges onto clients ledgers.
Completes both inbound and outbound calls from clients commercial insurances.
Creates itemized statements for clients.
Works closely with registration staff to correct clients insurance orders.
ELIGIBILITY TECHNICIAN
THREE RIVERS HUMAN SERVICE ZONE
06.2022 - 08.2023
Enters data received from applications, reviews, monthly reports and client verifications received both in person and online.
Carefully review each document to ensure it is short named properly and assigned to the appropriate group.
Uses a variety of computer programs to collect data not provided on applications.
Collects wage information from Job Service of North Dakota.
Creates letters to send to clients when unable to contact them by phone or email.
Contacts clients when additional information is needed to process applications or verifications.
ADMINISTRATIVE ASSISTANT
STATE OF NORTH DAKOTA
06.2020 - 06.2022
Answer incoming calls on a multi-line phone system.
Assist with accounts payable and accounts receivable reconciliations.
Track the office inventory and order office supplies as needed.
Open, sort, and distribute incoming/outgoing mail.
Maintain and organize records, files, and documentation.
Set up motor pool requests and add approved staff as drivers.
Create documents, forms, letters, and memos to the laboratory staff.
Enter patient demographics information onto the database and make any necessary corrections.
Proficiently use the copy, fax, scanning and shredding machines daily.
Assist laboratory Directors with several other miscellaneous tasks.
COMMERCIAL INSURANCE RATING ANALYST
EMC INSURANCE
11.2018 - 06.2020
Reviewed incoming insurance claims and assigned them to the appropriate department.
Carefully examined commercial insurance applications for any concerning information that would require additional attention.
Added notations and coded each application based on information provided.
Advised the underwriter on the information found to assist with the decision to move forward with insuring the applicant or not.
Printed, organized and mailed insurance policies to insured customers.
Also processed annual insurance renewals on small business insurance accounts to decide if we would continue insuring or if we would add endorsements and continue insuring.
Created professional letters and forms to send to various recipients.
Used a copy, fax, and scanning machine daily.
ADMINISTRATIVE SUPPORT SPECIALIST
EMC INSURANCE
03.2018 - 11.2018
Provided administrative assistance to the personal lines underwriting team
Entered claimant demographics information onto the database
Contacted claimants, insurance companies and attorney offices by phone or email to follow-up on missing documentation
Mailed and emailed forms that needed completion so the claims adjuster was able to process the claim
Answered a multi-line phone system screened calls, took messages or transferred to correct staff
Managed the PTO calendar for entire personal lines claims and underwriting departments
Sorted, scanned and delivered mail throughout the office
Additionally copied, faxed, scanned and shredded documents.
FRONT DESK RECEPTIONIST
SANFORD HEALTH
06.2016 - 03.2018
Greeted patients and visitors that came to the clinic.
Verified all patient insurance and demographic information for accuracy.
Scheduled appointments for the physicians in our office.office via phone, email or fax.
Scheduled appointments for the physicians in our office
Attempted to collect any debts owed by the patient.
Scanned, filed and copied sensitive patient information with discretion.
PATIENT ACCOUNTS REPRESENTATIVE-PRECEPTOR
SANFORD HEALTH
09.2012 - 06.2016
Made outbound and answered inbound calls from patients, providers and insurance companies regarding patients billing claims.
Followed up with insurance claims that have not been processed or paid.
Worked with patients to set up payment arrangements or settle aged balances.
Sent insurance claims for coding corrections and submitted back to insurance companies for payment.
Contacted patients by phone and mail to reconcile their accounts.
If aged balances were not cared for, balances would be forwarded to collection agencies.
Monitored agents remotely as well as in person to ensure they were following the quality guidelines.
Coached agents and set up goals to help them succeed.
Skills
Strong computer skills and have experience with multiple types of computer software
Ability to multitask and prioritize work responsibilities
Initiative-taking and aspire to always perform quality work
Exceptional interpersonal and communication skills