Corinn Pilbro
Lacey,WA
Summary
Dynamic professional with a proven track record at WA State Employment Security Department Leave and Care Division, adept in claims evaluation and processing with a keen eye for detail. Excelled in optimizing workflow efficiency by over 30%, showcasing strong problem-solving aptitude and effective communication. Skilled in Microsoft Office Suite and HIPAA regulations, demonstrating exceptional multitasking capacity and ethical conduct.
Overview
13
13
years of professional experience
Work History
Adjudicator
WA State Employment Security Department Leave and Care Division
09.2021 - Current
- Evaluated and processed Paid Family Leave applications.
- Assessed claims to determine necessary supporting evidence from healthcare providers.
- Conducted thorough assessments of client benefit qualifications as per regulatory standards.
- Detect discrepancies and clarify data: recalculate incorrect payments of benefits, and establish overpayments.
- Compose correspondence intended for healthcare and non-healthcare professionals.
- Worked on the ACH return payment project, optimizing workflow efficiency and accuracy.
Licensed Massage Therapist
Pearl Professional Massage
05.2012 - 04.2020
- Deliver therapeutic and Swedish massage treatments for around 30 clients each week.
- Coordinated benefits to align with procedural requirements ensuring effective treatment and cooperation with multiple insurance providers.
- Ensure up-to-date patient account data.
- Generate treatment enhancement reports for medical professionals.
- Facilitate resolutions between clients and insurers regarding payment discrepancies.
- Ensured seamless continuity of care with chiropractors for shared patients.
- Ensured timely opening and closing procedures for the clinic.
Clinic Office Manager
Pearl Professional Massage
05.2012 - 04.2020
- Managed clinic operations during owner's absence.
- Completed banking transactions at the owner's behest.
- Managed inventory levels and restocked supplies promptly.
- Guided and managed subordinate staff.
Education
bachelor of science - health care administration
University of Phoenix
11.2023
Certified billing coding specialist (CBCS) -
University of Phoenix
08.2020
Skills
- Word
- Excel
- Share Point
- PowerPoint
- Medical Terminology
- HIPAA regulations
- Soap vault
- ChiroTouch EHR systems
- Customer service
- Communication
- Multi-tasking
- Management
- Teamwork
- Cross-examination
- Impartial judgment
- Case evaluation
- Critical thinking
- Ethical conduct
- Time management
- Claims evaluation
- Case analysis
- Interpersonal communication
- Problem-solving aptitude
- Effective communication
- Teamwork and collaboration
- Multitasking capacity
Accomplishments
- Dean’s List
- 4.0 GPA, Letter of recognition for making the 'A List.'
- Member of The National Society of Collegiate Scholars
- Member of AAPC
Coursework
- HIPAA compliance
- Anatomy and Physiology
- Medical Billing and Coding
- Medical Insurance
- Business Communications Skills for Health Care Professionals
- Health Care Delivery in The U.S.
- Fundamentals of Electronic Health Records
- Medical Claims Processing and Compliance
Timeline
Adjudicator
WA State Employment Security Department Leave and Care Division
09.2021 - Current
Licensed Massage Therapist
Pearl Professional Massage
05.2012 - 04.2020
Clinic Office Manager
Pearl Professional Massage
05.2012 - 04.2020
bachelor of science - health care administration
University of Phoenix
Certified billing coding specialist (CBCS) -
University of Phoenix
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