Hi, I’m
Emily Noel
Nashua,NH
Overview
28
years of professional experience
Summary
Detail-oriented and methodical Claims Specialist offering 28 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Work History
May Mu DMD, Ralph Lewis DMD, Lili Lin DMD, LLP
Claims/Billing Specialist
1996.06 - Current (28 years & 3 months)
Job overview
- Managed on average 30 pages of claims for three offices effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Followed up with customers on unresolved issues.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared itemized statements, bills, or invoices and recorded
- Worked effectively cross coding to medical plans to obtain timely and accurate payments.
Family Dental Associates
Remote Claims and Billing Specialist
May1996 - Current (28 years & 4 months)
Job overview
- Managed on average 30 pages of overdue claims per day consistently with accuracy and low resubmission.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Followed up with customers on unresolved issues.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
Education
Dracut Senior High School Dracut, MA
High School Diploma
06.1989
University Overview
Skills
- Medical coding knowledge
- Patient account management
- Research and due diligence
- Microsoft Office
- Mass Health Knowledgeable
- Softdent
Timeline
Claims/Billing Specialist
May Mu DMD, Ralph Lewis DMD, Lili Lin DMD, LLP
1996.06 - Current (28 years & 3 months)
Remote Claims and Billing Specialist
Family Dental Associates
May1996 - Current (28 years & 4 months)
Dracut Senior High School
High School Diploma
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