Detail-oriented Workers' Compensation Claims Representative with a proven track record in claims analysis and compliance. Skilled in customer service and effective communication, contributing to timely claim resolutions.
Overview
14
14
years of professional experience
Work History
Workers' Compensation Claims Representative
Fisher Titus Medical Center
01.2025 - Current
Evaluated and processed workers' compensation claims to ensure compliance with policies and regulations.
Collaborated with medical providers to gather necessary documentation for timely claim resolution.
Managed case files, ensuring accurate record-keeping and adherence to deadlines.
Conducted thorough reviews of medical records to assess claim validity and eligibility.
Streamlined claims processing workflows, increasing efficiency in handling high-volume cases.
Maintained contact with claimants and attorneys to determine treatment status.
Medical Biller
Fisher Titus Medical Center
12.2020 - 12.2024
Processed medical claims using advanced billing software to ensure timely reimbursements.
Reviewed patient accounts for accuracy, resolving discrepancies in a proactive manner.
Collaborated with healthcare providers to obtain necessary documentation for claims submission.
Trained junior staff on billing procedures and compliance regulations to enhance team performance.
Phlebotomist/Specimen Processor
Fisher Titus Medical Center
08.2011 - 12.2020
Collected blood samples using vacutainers and butterfly needles, ensuring patient comfort and safety.
Processed specimens for laboratory analysis, adhering to strict protocols for accuracy and efficiency.
Maintained inventory of phlebotomy supplies, coordinating with vendors to ensure availability of essential materials.
Trained new staff on best practices in blood collection techniques and patient interaction strategies.
Education
R.P.T. - Medical Assistant
Sandusky Career Center
Sandusky, OH
07-2010
Skills
Claims analysis
Clear communication
Understanding of workers' compensation regulations