Brooke Taylor
West Frankfort
Summary
More than 9 years excellent experience in medical claims processing and customer service. Possesses a strong knowledge and understanding of insurance, ICD-10 codes and medical claim forms. Having multifaceted administrative abilities, handles high work volumes with a calm and professional approach. Maintains appropriate appearance, demeanor. Expertly completes assigned tasks with focus on quality and accuracy. Dependable and quick-learning team player with effective written and verbal communication and organization skills. Great recordkeeping and coordination skills. Produce business correspondence, detailed reports and useful spreadsheets using diverse software programs and technical skills. Respectful, punctual and hardworking.
Overview
11
11
years of professional experience
Work History
Secretary
Erwin Builders, Inc.
06.2023 - Current
- Maintain daily reports, mail, messages, documents, receipts, and invoices.
- Create and update records and files to maintain document compliance.
- Manage a filing system, enter data and complete other clerical tasks.
- Create Quick Book reports to track employee time by job.
- Verify and complete payroll distribution for multiple companies and employees.
- Reconcile bank records routinely to verify accuracy.
- File federal and state payroll taxes with appropriate government agencies by deadlines to minimize risk of penalties or fines.
- Create reports and pay Labor Dues and Union Dues for employees by the deadline.
- Maintain a clean and stocked office, by cleaning weekly and managing office supplies and toiletries.
Specialized Workforce Action Team
Wisconsin Physician Service Health Insurance, WPS
06.2018 - 06.2023
- Updated account information to maintain customer records regarding other health insurance.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Managed workload and priorities to meet claims processing meet deadlines.
- Reviewed, posted and attached medical records to claim files.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Verified patient insurance coverage and benefits for medical claims.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Insurance Customer Service Representative
SIH
08.2017 - 06.2018
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
Customer Advocate II
HCSC - Blue Cross Blue Shield Of Illinois
09.2013 - 05.2017
- Enhanced customer satisfaction by promptly addressing concerns and providing effective solutions.
- Collaborated with team members to ensure consistent high-quality service delivery across the organization.
- Streamlined call center processes for improved efficiency and reduced wait times.
- Provided exceptional customer service, addressing concerns and resolving issues promptly to maintain client satisfaction.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Verified client information by analyzing existing evidence on file.
- Maintained confidentiality of patient finances, records, and health statuses.
Education
High School Diploma -
Benton Consolidated High School
Benton, IL05.2006
Skills
- Office Administration
- Payroll Administration
- Database Management
- Organization
- Customer Service
- Verbal and written communication
- Quickbooks
- Accounts Receivable and Payable
- Claims Processing
- Insurance Verification
- HIPAA Compliance
- Medical terms and procedure knowledge
- HCPCS Knowledge
- Thorough claims reviews
- Medical record review
- Provider Relations
- Insurance claims processing
Additional Information
Proficient in computer skills and customer service. Very hardworking and dedicated. Self motivated, driven and works well with others.
Timeline
Secretary
Erwin Builders, Inc.
06.2023 - Current
Specialized Workforce Action Team
Wisconsin Physician Service Health Insurance, WPS
06.2018 - 06.2023
Insurance Customer Service Representative
SIH
08.2017 - 06.2018
Customer Advocate II
HCSC - Blue Cross Blue Shield Of Illinois
09.2013 - 05.2017
High School Diploma -
Benton Consolidated High School
Similar Profiles
Tyler HooperTyler Hooper
Yard/Home Maintenance at Erwin BrigantYard/Home Maintenance at Erwin Brigant
Luis MonterrozaLuis Monterroza
Engineer/Maintenance at Hotel ErwinEngineer/Maintenance at Hotel Erwin
Arunas ButenasArunas Butenas
Machine Operative at Erwin Hymer Group UK LtdMachine Operative at Erwin Hymer Group UK Ltd
Owen ThompsonOwen Thompson
Carhop/Cook at SonicCarhop/Cook at Sonic
Justin HolderfieldJustin Holderfield
Radiologic Technologist at Franklin HospitalRadiologic Technologist at Franklin Hospital