Cachet Snyder
Boca Raton,FL
Summary
Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused. Offering more almost 15 years of experience working with medical claims and real estate. Offering exceptional skills in customer service and coordinating services. Motivated to succeed in fast-paced and deadline-driven professional environment. Organized and dependable successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Real Estate
Exp Realty
Hollywood, FL
01.2022 - Current
- Negotiated, facilitated, and managed real estate transactions.
- Presented purchase offers to sellers for consideration.
- Developed and maintained relationships with clients through networking, postcards, and cold calling.
- Managed contracts, negotiations, and all aspects of sales to finalize purchases and exceed customer expectations.
Back Office Nurse/EKG Technician
Palm Wellness
Delray Beach, FL
01.2021 - 11.2022
- Verified patient insurance coverage and collected required co-payments.
- Prepared workers comp claim/school forms or related documents and reviewed for completeness.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Called and faxed pharmacies to submit prescriptions and refills.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Taught patients about medications, procedures, and care plan instructions.
- Collected and documented patient medical information such as blood pressure and weight.
- Completed EKGs and other tests based on patient presentation in office.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Obtained client medical history, medication information, symptoms, and allergies.
- Prepared workers comp claim/school forms or related documents and reviewed for completeness.
Claims Examiner/Credentialing Specialist
MCNA
Fort Lauderdale, FL
08.2009 - 04.2014
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
- Accurately processed large volume of medical claims every shift 100 per day.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Reviewed claims for accuracy before submitting for billing.
- Based payment or denials of medical claims upon well-established criteria for claims processing.
- Sent clinical request and missing information letters to obtain incomplete information.
- Administered standard contract benefits to process pending claims for dental benefits.
- Conducted interviews, gathered detailed information and completed
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Examined photographs and statements
- Received and evaluated applications to look for missing and inaccurate information.
- Conducted primary source verifications such as background checks and board certifications.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Enrolled providers and Medicaid, Medicare and private insurance plans.
- Pre-screened resumes prior to sending to corporate hiring managers for consideration.
Insurance Coordinator
PRC
Sunrise, FL
01.2007 - 09.2009
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Filed and tracked insurance claims and communicated claims status to patients.
- Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Obtained prior authorization and precertification for outpatient procedures.
- Verified insurance and communicated coverage to staff and patients.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
Education
Licensed - Certified Licensed Claims Adjuster
University of Central Florida
Orlando, FL03.2023
Licensed - Licensed Real Estate Agent
Gold Coast College of Real Estate
Boca Raton, FL05.2017
Certified - Emergency Medical Technology
City College
Fort Lauderdale, FL06.2010
Associate of Applied Science - Medical Billing Insurance Coding
National School of Technolgy
Fort Lauderdale, FL08.2006
Skills
- Fluent English/Spanish
- Workers' compensation claims
- Customer Service
- Patient care
- Insurance
- Skilled in Microsoft Office Suite, Microsoft Teams, MLS database
- Medical Billing
- Credentialing
- Documentation skills
- Claims
- Real estate
- Medical terminology
- Care plans
- Federal and local real estate laws
- Local property market expertise
- Negotiation skills
- Marketing
- Social Media & Networking
Certification
I hold the certifications of Claims Adjuster, Real Estate, Medical Insurance, EMT, Phlebotomy & Notary
Timeline
Real Estate
Exp Realty
01.2022 - Current
Back Office Nurse/EKG Technician
Palm Wellness
01.2021 - 11.2022
Claims Examiner/Credentialing Specialist
MCNA
08.2009 - 04.2014
Insurance Coordinator
PRC
01.2007 - 09.2009
Licensed - Certified Licensed Claims Adjuster
University of Central Florida
Licensed - Licensed Real Estate Agent
Gold Coast College of Real Estate
Certified - Emergency Medical Technology
City College
Associate of Applied Science - Medical Billing Insurance Coding
National School of Technolgy