Dedicated insurance specialist with a track record in claims management and customer support. Proficient in problem-solving and team collaboration, consistently ensuring timely resolutions and maintaining positive interactions with patients and providers.
Overview
11
11
years of professional experience
Work History
Assistant Teacher
Santa Rosa County Schools
Milton
07.2025 - 06.2026
Facilitated lesson preparation and classroom organization for teachers.
Provided individual and group assistance to enhance student learning.
Monitored student behavior to ensure compliance with school policies.
Implemented engaging instructional activities under teacher supervision.
Maintained a positive classroom environment conducive to learning and collaboration.
Helped maintain a safe and orderly learning environment.
Supervised small group activities.
Interacted positively with children to encourage development and involvement in activities, treating each child with dignity and respect.
Insurance Follow-Up Representative
Medco
Madison
11.2019 - 06.2022
Utilized provider portals such as BCBS, Medicaid, Tricare, Champ VA, and Medicare to resolve insurance claim denials.
Handled patient inquiries regarding insurance claims and followed up to facilitate resolutions.
Reviewed and processed outstanding claims to ensure timely resolution.
Reviewed and processed outstanding claims to ensure prompt resolutions.
Updated patient records in system to accurately track claims status.
Optimized financial processes for healthcare providers, including billing claims management and patient access using MedAssets.
Insurance Collector
Huntsville Hospital
Huntsville
08.2017 - 09.2019
Utilized provider portals to verify insurance eligibility, check claim status, and submit appeals through Tricare, VA, Champ Va, Medicaid, Medicare (DDE), BCBS and OOS BCBS as well as other commercial insurance company websites.
Resolved discrepancies by investigating claims and patient records thoroughly.
Collaborated with healthcare providers to obtain necessary documentation for claims.
Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Utilized patient healthcare portals such as Cerner, HealthQuest, CPSI, MedAssets, Icare and Relay Health.
Utilized various software programs such as Excel, Word, Access and QuickBooks when completing tasks.
Verified accuracy of information on existing accounts, updated records.
Medical Insurance Biller
Huntsville Hospital
Huntsville
08.2015 - 08.2017
Utilized provider portals to verify insurance eligibility, check claim status, and submit appeals through Tricare, VA, Champ Va, Medicaid, Medicare (DDE), BCBS and OOS BCBS as well as other commercial insurance company websites.
Processed medical claims accurately and efficiently for various insurance providers.
Verified patient insurance information to ensure proper billing procedures.
Resolved billing discrepancies by coordinating with patients and insurers.
Maintained up-to-date knowledge of insurance regulations and policies.
Utilized billing software for accurate input and tracking of claims, ensuring timely processing.
Executed tasks using Excel, Word, Access, and QuickBooks to streamline billing operations.
Collaborated with team members to enhance billing processes and workflows, improving overall efficiency.
Utilized patient healthcare portals such as Cerner, HealthQuest, CPSI, MedAssets, Icare and Relay Health.
Assessed medical codes on patient records for accuracy.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.