Microsoft Word, Excel, powerpoint, and outlook
Debra Hardie
Round Rock,TX
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision. Proficient in the use of all office equipment, also have experienced with Microsoft word, Powerpoint, and Outlook.
Overview
4
4
years of professional experience
Work History
Claims Coordinator
Texas Hospital Insurance Exchange
12.2022 - 01.2024
- Provide administrative support to THIE’s claims department
- Electronically set all new claim files using in-house database
- Work extensively with third-party databases to transmit requested claim information
- Process all payments for providers and vendors invoices
- Process all incoming and outgoing correspondence using outlook
- Electronically transmit all medical bills to bill review vendor
- Assist providers and vendors with bill payment inquiries
- Serve as back-up to receptionist, as needed
- Coordinates and completes data collection, analysis, and reporting
- Resolves invoice and payment discrepancies in timely manner
- Maintain confidential data and information for Senior Staff.
- Enhanced office efficiency by streamlining administrative processes and implementing organizational systems.
- Boosted team productivity by managing communication channels and ensuring timely responses to inquiries.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
- Promoted positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Streamlined invoice processing procedures to ensure timely payment of vendors while minimizing errors in financial records.
- Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
- Drafted correspondence and other documents for CEO and department heads in company's voice.
- Assisted coworkers and staff members with special tasks on daily basis.
- Managed approximately 30 incoming call, emails and faxes per day from customers.
Claims Processor
Citizens Inc.
06.2021 - 12.2022
- Review policy contracts and determine if coverage is applicable
- Review and prepare claims for processing
- Determine base payment by referring to policy coverage and limits
- Assess, research, and correct claims discrepancies
- Participate in educational seminars webinars, and local claims meetings
- Ability to operate demanding environment shaped by constant change and innovation
- Comply with HIPPA and other privacy regulations
- Ability to establish rapport and build relationships in professional manner
- Maintained 99% accuracy rating on all claim setups
- Function as mentor to help others on team as needed
- Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
- Reduced claim processing time for faster customer service and improved satisfaction rates.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
- Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
- Negotiated settlements with policyholders, balancing their needs with financial interests of company.
- Maintained strict confidentiality when dealing with sensitive information about patients'' medical histories or personal details.
- Participated in various professional development opportunities to stay current on industry regulations, best practices, and emerging technologies relevant to claim processing activities.
- Managed workload and priorities to meet claims processing meet deadlines.
- Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
- Followed up with customers on unresolved issues.
- Identified and reported potential fraud or abuse related to claims to protect system's integrity.
Administrative Assistant
Texas Department of Health and Human Services
08.2019 - 06.2021
- Provide administrative support to Department Attorney’s in child neglect department
- Regularly maintain storage records for Enforcement Department
- Scanned, copied and file documents
- Answered and transferred 15-20 calls daily.
- Assisted with administrative tasks on special projects
- Input New Appeals into Salesforce
- Extensively used “Impact” and “Class” to place information about cases
- Regularly upload cases to SOAR.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
- Maintained up-to-date knowledge of industry best practices and office software updates to maximize efficiency in administrative tasks.
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Sorted and distributed office mail and recorded incoming shipments for corporate records.
Education
Some College (No Degree) - Claims Adjuster
365 Training
Austin, TXSkills
- Database Management:
- Data Entry
- Filing
- Cash Register Operations
- HIPAA Compliance
- Records Management
- Customer Service
- Research
- Front Desk Coordination
- Letter Preparation
- Office Administration
- Reception Oversight
- Mail Handling
- Clerical Support
- Document Control
- Spreadsheet Management
Software
Timeline
Claims Coordinator
Texas Hospital Insurance Exchange
12.2022 - 01.2024
Claims Processor
Citizens Inc.
06.2021 - 12.2022
Administrative Assistant
Texas Department of Health and Human Services
08.2019 - 06.2021
Some College (No Degree) - Claims Adjuster
365 Training
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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