Chelsea Simmons
Eau Claire,WI
Summary
Detail-oriented and customer-focused professional with experience in claims processing, credit collections, customer service, and financial account management. Experience using programs such as excel, office, microsoft outlook and facets, with the ability to manage sensitive information, resolve complex account issues, and maintain accuracy in fast-paced environments. Strong background in medical claims review, insurance documentation, auditing support, and customer communication. Recognized for professionalism, adaptability, attention to detail, and the ability to build positive customer relationships.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Credit & Collections Representative
Xcel Energy
Eau Claire, WI
04.2025 - 06.2025
- Assist customers with billing inquiries, payment arrangements, reconnections, and account resolution.
- Handle sensitive customer information while maintaining compliance with company privacy standards.
- Resolve account discrepancies and provide professional customer support in a fast-paced environment.
- Maintain accurate documentation of customer interactions and account actions.
- Managed high-volume collections calls, ensuring timely follow-ups on overdue accounts.
- Developed and implemented effective payment plans to assist customers in settling debts.
Medical Claims Processor
Lincoln Financial Group
Remote
02.2022 - 10.2023
- Reviewed and processed medical claims for accuracy, completeness, and policy compliance.
- Investigated and resolved complex claim issues through analysis of medical records and billing documentation.
- Utilized ICD-10, CPT, and HCPCS coding systems for accurate claims processing.
- Maintained productivity and quality standards while ensuring timely claim resolution.
- Collaborated with internal teams to resolve claim discrepancies and improve processing efficiency.
- Developed strong Excel skills through daily use of spreadsheets for data analysis and report generation purposes.
- Streamlined data entry processes with the use of specialized software, such as Microsoft Excel and Word.
VA Claims Processor
Aerotek / WPS Health Solutions
Christopher, IL
04.2020 - 02.2022
- Processed veterans’ medical claims while ensuring compliance with healthcare guidelines.
- Verified patient eligibility and reviewed billing information for accuracy.
- Collaborated with healthcare professionals and billing teams to resolve claim discrepancies.
- Supported workflow improvements to increase processing efficiency and accuracy.
- Collaborated with cross-functional teams to resolve complex claim inquiries effectively.
- Used different programs such as excel, Microsoft outlook, FACETS, and more.
Relief Teller / Customer Service Representative
First Financial Bank
Benton, IL
05.2019 - 10.2019
- Processed deposits, withdrawals, and loan payments accurately.
- Balanced cash drawers and completed end-of-day reconciliation procedures.
- Assisted customers with account inquiries while maintaining professionalism and confidentiality.
- Mentored new tellers, providing training on systems and customer service best practices.
- Disbursed cash and checks accurately while maintaining security of cash drawers.
Additional Customer Service Experience
Rural King, Walmart, Rend Lake College & Elks Lodge
01.2011 - 01.2018
- Built strong customer service, communication, and cash-handling skills across retail and hospitality environments.
- Assisted customers, processed transactions, maintained organized work areas, and supported daily operations.
Education
Bachelor of Science - Criminal Justice
Southern New Hampshire University
Remote09-2024
Skills
- Claims Processing
- Customer Service
- Credit & Collections
- Medical Billing
- ICD-10 / CPT / HCPCS
- Compliance Awareness
- Microsoft Office
- Documentation Review
- Call Center Support
- Auditing Support
- Data Entry Accuracy
- Problem Solving
- Excel and Excel shortcuts- used this program while working remotely to maintain and help process medical claims Also, used this program while in college
Certification
- CPR Certification
- BLS Certification
- DSPS Private Security Person License
- Valid Driver’s License
Timeline
Credit & Collections Representative
Xcel Energy
04.2025 - 06.2025
Medical Claims Processor
Lincoln Financial Group
02.2022 - 10.2023
VA Claims Processor
Aerotek / WPS Health Solutions
04.2020 - 02.2022
Relief Teller / Customer Service Representative
First Financial Bank
05.2019 - 10.2019
Additional Customer Service Experience
Rural King, Walmart, Rend Lake College & Elks Lodge
01.2011 - 01.2018
Bachelor of Science - Criminal Justice
Southern New Hampshire University