Carol James
Princeton,NJ
Summary
Results-driven professional with extensive experience at RWJBH Rutgers Health, excelling in medical billing and claims processing. Proven ability to verify insurance eligibility and resolve complex billing issues while ensuring HIPAA compliance. Strong interpersonal skills and exceptional data entry accuracy contribute to efficient operations and enhanced customer satisfaction.
Overview
26
26
years of professional experience
Work History
Head Clerk
RWJBH Rutgers Health
New Brunswick, NJ
09.1998 - 01.2025
- Analyzed account information to ensure accuracy of data entry into system.
- Verified insurance eligibility for services rendered prior to submitting claims.
- Assisted in resolving complex problems related to patient billing issues.
- Entered data into the computer system accurately and efficiently.
- Performed administrative duties such as filing, copying, scanning, faxing.
- Utilized medical software applications to process claims and payments.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Applied HIPAA privacy and security regulations while handling patient information.
- Checked claims coding for accuracy with ICD-10 standards.
Education
High School Diploma -
New Brunswick High School
New Brunswick, NJ06-1979
Skills
- Data entry
- Medical billing
- Claims processing
- Insurance verification
- HIPAA compliance
- Customer service
- Interpersonal skills
- Multitasking Abilities
References
References available upon request.
Timeline
Head Clerk
RWJBH Rutgers Health
09.1998 - 01.2025
High School Diploma -
New Brunswick High School