Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ariel Money

Medical Insurance and Verification Specialist
Mesquite,TX

Summary

Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims. Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Bilingual go-getter committed to handling claims expeditiously. Results-driven Insurance Verification Specialist accomplished in bringing in new customers and maximizing revenue. Well-versed in different insurance plans and competitor offerings. Persuasive communicator with personable style. Dedicated Insurance professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Experienced Insurance Specialist with over 10 years of experience in Medical. Excellent reputation for resolving problems and improving customer satisfaction. Enthusiastic Billing Specialist eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Billing, Insurance and training in Medical. Motivated to learn, grow and excel in Medical. Results-driven Insurance Specialist accomplished in bringing in new customers and maximizing revenue. Well-versed in different insurance plans and competitor offerings. Persuasive communicator with personable style.

Overview

4
4
years of professional experience

Work History

Medical Insurance Specialist

Memorial Mri & Diagnostic
Dallas , TX
2020.03 - Current
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Responded to correspondence from insurance companies.
  • Used administrative guidelines as resource or to answer questions when processing medical claims.
  • Reviewed provider coding information to report services and verify correctness.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Reported policy changes and company conditions affecting customer satisfaction.
  • Collaborated with claims department and industry anti-fraud organizations to resolve claims.
  • Followed up on potentially fraudulent claims initiated by claims representatives.
  • Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
  • Met with customers to provide information about available products and policies.
  • Finalized sales and collected necessary deposits.
  • Conducted annual reviews of existing policies to update information.
  • Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
  • Calculated premiums and established payment methods for sales.
  • Collected premiums on or before effective date of coverage.
  • Utilized direct marketing strategies such as mailings and phone contracts to approach potential clients and increase sales by 30%

Scheduling Supervisor

Prime Diagnostic Imaging
Dallas , TX
2020.03 - 2021.09
  • Developed strong working relationships with management and executive team through effective scheduling and communication skills.
  • Gathered employee data to develop monthly work schedules, enabling proper staffing for departments for each shift.
  • Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
  • Set up Medical appointments with customers.
  • Developed and implemented scheduling policies.
  • Worked with manager and supervisor to plan and coordinate production schedules.
  • Addressed internal supply problems head-on and developed creative solutions to prevent delays and missed targets.
  • Scheduled procedures, surgeries and doctor appointments for average of 100 patients per daily.
  • Input data in Centricity, EXA, Clariti and all Insurance websites to create updated status reports for quick reference of project progress and deadlines.
  • Checked prices and calculated totals for accurate invoice processing.
  • Conferred with managers, sales teams and engineering personnel to revise plans and achieve demanding targets.
  • Processed and approved all scheduling changes to executive calendars by using EXA, Clariti and Centricity.
  • Completed Scheduling logs and reports detailing production data such as volume, materials used and quality assurance results, helping management make accurate operational decisions.
  • Prearranged equipment for production to keep tasks and workers on schedule.
  • Realigned production schedules to factor in changing conditions such as materials shortages and evolving designs.
  • Led team of 25 scheduling coordinators.
  • Scheduled activities for service personnel

Education

High School Diploma -

Celina High School
Celina, TX
05.1999

Skills

Service-Oriented

  • CRM Software
  • Policy Feature Explanations
  • Administrative Functions
  • Critical Thinking
  • Form Completion and Submission
  • Healthcare Common Procedure Coding System HCPCS
  • Document Control
  • Policy Changes
  • Claims Information Gathering
  • Insurance Customization
  • Verbal and Written Communication
  • Insurance Coverage Verification
  • Time Management
  • Records Maintenance
  • HIPAA Compliance
  • Customer Engagement
  • Adobe Photoshop
  • Medicare Compliance
  • Insurance Eligibility
  • Billing Inquiries
  • Data Entry
  • New Agent Training
  • Customer Billing
  • Relationship Building
  • Customer Complaint Resolution
  • Quality Assurance Requirements
  • Customer Account Review

Timeline

Medical Insurance Specialist

Memorial Mri & Diagnostic
2020.03 - Current

Scheduling Supervisor

Prime Diagnostic Imaging
2020.03 - 2021.09

High School Diploma -

Celina High School
Ariel MoneyMedical Insurance and Verification Specialist