Carol M. Langowski
West Seneca,NY
Summary
Dedicated professional with a proven track record at American Arbitration Association, adept in legal compliance and enhancing client relationships through individualized counseling. Skilled in organization and multitasking, consistently achieves high standards in confidentiality and utilization review. Expertise in legal document analysis and customer service excellence, fostering significant improvements in operational efficiency.
Overview
39
39
years of professional experience
1
1
Certification
Work History
Case Administrator
American Arbitration Association
02.2023 - Current
- Reviewed and uploaded documents from internal and external sources.
- Process withdrawals, technical corrections, respond to inquiries from parties and arbitrators.
- Reviews stipulations, court orders, insurance policies and other legal documents.
- Ensures precision in submission packages by reviewing content organization and quality.
- Ensures efficient flow of information through timely processing of arbitrators' dispositions and adjournment requests.
- Develops and sustains client relationships; communicates customer feedback and critique to immediate supervisor; makes suggestions for improvement to supervisor
- Anticipates, troubleshoots and resolves problems; weighs the importance of issues and ensures that unresolved/complex issues are escalated to the appropriate supervisor
- Determines and assigns medical professionals per request of Arbitrator to review independent medical exams provided by parties
- Communicates AAA policies and procedures to parties; understands, interprets and evaluates specific case issues based on regulatory information; and complies with established operating procedures and NYSDFS regulations while keeping abreast of applicable rules, regulations, and protocols; maintains confidentiality in handling sensitive customer information; consults with immediate supervisor for guidance to ensure quality and consistency standards
Accounting Assistant
Bryant & Stratton College
Orchard Park, USA
06.2021 - 02.2023
- Responsible for processing invoices and expense reports
- Create purchase orders as needed
- Open and distribute mail for college campus
- Maintain marketing flowchart
- Creation of payment packets, scanning and renaming
- Student voids and maintenance in Banner
Billing Specialist/Receptionist – Part Time
Seneca Springs Wellness
West Seneca, USA
11.2014 - 02.2023
- Administrative support to owner of chiropractic practice/Receptionist
- Medical billing and follow-up of New York Workers’ Compensation, New York No-Fault and major medical insurance
- Collect co-pays and balances and balanced ledger at the end of day
Billing Specialist
McAuley Seton Home Care/Catholic Health
Depew, USA
07.2018 - 05.2021
- Responsible for billing monthly Home Response service to insurances, including Medicare and Medicaid, and private pay customers
- Insurance follow up, maintaining insurance authorizations
- Timely filing, maintain confidentiality, phone/email customer service
Medical Billing Specialist/Receptionist
Mineral Springs Chiropractic
West Seneca, USA
09.1999 - 05.2019
- Administrative support to owner of medical practice
- Medical billing and insurance follow-up for multiple doctors, massage therapists, and acupuncturists
- Experienced in New York Workers’ Compensation, New York No-Fault, and major medical billing
- Schedule patient appointments and independent medical exams
- Train staff and ensure adherence to office policies and HIPAA compliance
- Collect co-pays and balances and balance ledger at the end of day
Receptionist
New York Chiropractic College
05.2006 - 05.2007
- Schedule patient appointments
- Maintaining student time-cards
- Collected co-pays and balances and balanced ledger at the end of day
- Answered all incoming calls
Administrative Coordinator/Secretary
Blue Cross and Blue Shield of WNY, Inc
Buffalo, USA
07.1985 - 04.1995
- Reported directly to the Vice President of Utilization Review, Utilization Management and Special Investigations
- Handled confidential documents
- Secured travel arrangements including hotel reservations and airline tickets
- Screened incoming calls on Fraud and Abuse Hotline
Education
A.A.S - Secretarial Science
Villa Maria College
Buffalo, NY05.1985
Skills
- Legal compliance
- Confidentiality
- Individualized counseling
- Patient support
- Utilization review
- Organization and multitasking
Certification
New York State Licensed Notary Public, 11/01/14, Present
Timeline
Case Administrator
American Arbitration Association
02.2023 - Current
Accounting Assistant
Bryant & Stratton College
06.2021 - 02.2023
Billing Specialist
McAuley Seton Home Care/Catholic Health
07.2018 - 05.2021
Billing Specialist/Receptionist – Part Time
Seneca Springs Wellness
11.2014 - 02.2023
Receptionist
New York Chiropractic College
05.2006 - 05.2007
Medical Billing Specialist/Receptionist
Mineral Springs Chiropractic
09.1999 - 05.2019
Administrative Coordinator/Secretary
Blue Cross and Blue Shield of WNY, Inc
07.1985 - 04.1995
A.A.S - Secretarial Science
Villa Maria College
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