Insurance professional with robust experience in claims management and follow-up procedures. Known for improving process efficiency and achieving resolution in complex cases. Reliable team player with focus on collaboration and adaptability, equipped with strong analytical and organizational skills.
Overview
7
7
years of professional experience
Work History
Insurance Denials Follow Up
Financial Corporation of America/ Revco
09.2021 - Current
Day to day duties include contacting customers regarding delinquent accounts, updating client files in CUBS/Facs program, data entry, providing effective customer service via telephone and email, and processing client payments
Contacting insurance companies regarding claim and appeal status, coverage details, and coding errors.
compose appeals for claim denials and rejections.
Expedited claim settlements by efficiently addressing inquiries from both patients and insurance companies regarding billing disputes or payment arrangements.
Contributed to a positive work environment by sharing best practices among peers and actively participating in team meetings geared towards continuous improvement.
Exemplified professionalism when interacting with patients via telephone, consistently displaying empathy, patience, and tact during difficult conversations.
Safeguarded patient privacy by adhering to HIPAA guidelines when handling sensitive personal information during claim follow-up processes.
Order Fullfillment
Growers Choice Seeds
04.2020 - 07.2021
Responsibilities included creating shipping labels for customer orders, confirming accuracy of customer information, updating shipment details, and assisting with inventory
Increased employee satisfaction by fostering a positive work environment, resulting in higher retention rates among staff members.
Managed daily operations, allocating resources efficiently to meet order demand while minimizing operational costs.
Bakery Team Lead
Icing on the Cupcake
06.2019 - 02.2020
Managed store bake team, prepared and filled orders, update customer order information in system, provided friendly and effective customer service, and product inventory
Conducted regular equipment maintenance checks, reducing downtime due to malfunctions or repairs.
Optimized staffing schedules to ensure adequate coverage during peak hours while minimizing labor costs.
Supervised daily bakery operations, ensuring consistent product quality and timely completion of tasks.
Baker
Icing on the Cupcake
10.2017 - 08.2018
Prepared and filled orders, bake client orders in industrial ovens, update customer order information in system, provided friendly and effective customer service, and product inventory
Produced consistently high-quality baked goods for customers.
Complied with health and safety codes to protect staff and customers.
Operated and maintained bakery equipment, including ovens and mixers.
Collaborated with team members to complete tasks and maintain smooth running of bakery.