Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

Franklin Bruce Jr

Mastic Beach

Summary

Seasoned collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills.

Overview

9
9
years of professional experience

Work History

Eligibility Specialist

New York Cancer And Blood Specialists
05.2023 - Current
  • Verify insurance benefits including primary, secondary, and tertiary. Obtain all pertinent information of out of pocket, co-insurance, deductible, co-pay, and if referrals / authorization are required for services.
  • Obtain referrals for office visits, labs, radiology, and chemotherapy and radiation therapy.
  • Maintain and ensure the confidentiality of all patient and employee information at all times.
  • Review and explain patient’s statements and their financial responsibility. Work account as necessary and/or set up a signed payment plan with the patient.

Medical Biller/ Admin Support

Northwell Health
11.2021 - 04.2023
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted payments and collections on regular basis.
  • Collected payments and applied to patient accounts.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.

Nursing Station Clerk

Stony Brook University Hospital
08.2021 - 07.2022
  • Worked flexible hours; night, weekend, and holiday shifts.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.

Front Desk/ Medical Receptionist

Stony Brook CPMP Dermatology
09.2020 - 11.2021
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Completed clerical duties and tasks for clinic administration.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.

Underwriting Associate

PRIMMA LLC/ EMPRO
12.2019 - 09.2020
  • Reviewed MD credit reports, financial statements and transactions to verify accuracy and completeness.
  • Calculated loan applicant debt ratios, income and terms and payments to determine financial stability of applicants to repay loan for MD's and NP's.
  • Responded to customer requests via telephone and email and effectively answered questions and inquiries.

Insurance Claims Representative

Geico
02.2019 - 12.2019
  • Examined reports, accounts and evidence to determine integrity and accuracy of information.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Oversaw claim recoveries, subrogation and salvage.

Stock Associate / Sales Representative

P.C. Richard and Son
04.2015 - 02.2019
  • Assisted in product placement and visual merchandising, maintaining attractive and inviting appearance.
  • Evaluated inventory and delivery needs and optimized strategies to meet customer demands.
  • Used dollies and pallet jacks to unload and organize merchandise from delivery trucks.


Education

Some College (No Degree) - Business Administration/HR Management

Mercy College
New York, NY

Some College (No Degree) - Business Administration/HR Management

Farmingdale State University
Farmingdale, NY

Some College (No Degree) - Accounting

Suffolk County Community College
Selden, NY

High School Diploma -

North Babylon High School
North Babylon, NY
06.2017

Skills

  • Time Management
  • Billing and Collections Procedures
  • Customer Contact
  • Records Management
  • Claim Processing
  • Accounts Payable and Accounts Receivable
  • Data Quality Management
  • Strong Communication and Interpersonal Skills
  • Microsoft Excel And Microsoft Office
  • Training Employees
  • Technical Support and Assistance

Affiliations

To obtain employment with a company that offers a positive atmosphere to learn and implement new skills and technologies for the betterment of the organization.

Timeline

Eligibility Specialist

New York Cancer And Blood Specialists
05.2023 - Current

Medical Biller/ Admin Support

Northwell Health
11.2021 - 04.2023

Nursing Station Clerk

Stony Brook University Hospital
08.2021 - 07.2022

Front Desk/ Medical Receptionist

Stony Brook CPMP Dermatology
09.2020 - 11.2021

Underwriting Associate

PRIMMA LLC/ EMPRO
12.2019 - 09.2020

Insurance Claims Representative

Geico
02.2019 - 12.2019

Stock Associate / Sales Representative

P.C. Richard and Son
04.2015 - 02.2019

Some College (No Degree) - Business Administration/HR Management

Mercy College

Some College (No Degree) - Business Administration/HR Management

Farmingdale State University

Some College (No Degree) - Accounting

Suffolk County Community College

High School Diploma -

North Babylon High School
Franklin Bruce Jr