Hannah Fitzgerald
Coupland,TX
Summary
Consummate Claims Associate knowledgeable in insurance coverage, policy terms, and conditions. Facilitates claims processing by cultivating productive relationships with stakeholders. Blends analytical and administrative acumen throughout investigations and recommendations. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Benefit Specialist
CVS/AETNA
11.2021 - Current
- Provided exceptional customer service by addressing client inquiries promptly and professionally.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Handled sensitive claimants'' personal information with discretion, maintaining confidentiality at all times during the claims process.
- Assisted in the development of department goals and objectives, actively working towards achieving them through individual performance metrics tracking efforts.
- Maintained up-to-date knowledge on industry regulations and guidelines, ensuring compliance throughout the claims process.
- Reviewed policy coverage details thoroughly before making determinations on benefits eligibility for each unique claim scenario presented.
- Facilitated communication between departments, ensuring timely resolution of outstanding claims.
- Effectively reworked claims that were originally paying one way and needed to pay another way according to policy change.
- Assisted in adjusting Accumulator adjustments for member plans according to plan change policies.
Photographer
If the Photo Fitz
05.2013 - Current
- I own this company and do freelance photography gigs.
- Digitally edited photos to enhance appearance.
- Delivered high-quality images under tight deadlines, demonstrating strong time management skills.
- Took photos from different angles and perspectives to capture perfect images.
- Planned and prepared for on-location and studio shoots.
Site Coordinator
YMCA
01.2020 - 03.2020
- After school site coordinator.
- Scheduled staff and volunteers to cover all necessary duties during planned events.
- Maintained a safe and productive work environment by enforcing strict adherence to safety guidelines, promptly addressing any hazards or non-compliance incidents.
- Supervised crew of over 5 employees.
- Implemented hands-on learning opportunities that encouraged exploration, problem-solving, and critical thinking skills among children.
- Developed strong relationships with families, maintaining open communication channels for optimal support of each child''s growth and wellbeing.
Medical Billing Specialist
MEDICAL MANAGEMENT PROFESSIONALS
08.2018 - 06.2019
- Currently work on facility billed dates trained in medical records loading in facility ordering labs in facility
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Posted payments and collections on regular basis.
- Used data entry skills to accurately document and input statements.
Teacher Assistant
New Braunfels Academy
09.2017 - 05.2018
- I was the teaching assistant for the infant room
- I would open the room and maintain a clean space for our classroom.
- Promoted a positive learning environment by effectively managing classroom behavior and addressing individual needs.
- Assisted teachers in preparing instructional materials, ensuring alignment with curriculum objectives.
- Supported teacher in monitoring students during lunch periods, recess, and other non-instructional times to maintain safety and orderliness.
- Supported classroom activities, tutoring, and reviewing work.
- Adhered to classroom protocols to keep areas clean, neat, and organized.
- Assisted teachers with supervision and care of group of [Number] children.
- Maintained safety and security by overseeing students in recess environments.
Apartment leasing receptionist and consultant
AAA Staffing Agency
07.2017 - 09.2017
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Responded to inquiries from callers seeking information.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
Assistant Manager
Extended Stay America Hotels
11.2016 - 07.2017
- I started out as a front desk agent then after about 6 months of working hard and putting forth effort I was promoted to team lead/assistant manager
- While working here I was able to maintain good relationships with guests, money management skills, answering phones, putting together schedules for employees under me, and managing a hotel of about 15 employees.
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Developed strong working relationships with staff, fostering a positive work environment.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Improved customer satisfaction by addressing and resolving complaints promptly.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
- Mentored junior staff members in their professional development by offering guidance/support in their assigned roles.
- Assisted in recruiting, interviewing, hiring, and onboarding of new employees to maintain adequate staffing levels.
Lead Teacher
Children's Enchanted Learning Center
07.2015 - 09.2016
- Take care of babies from 6 weeks to a year
- Making up weekly curriculum to do with the babies to help develop their minds.
- Established positive relationships with parents through regular communication regarding student progress, collaborating on strategies for academic success at home and school.
- Maintained patience and level-headedness in diverse situations to support student development and personal growth.
Server/Hostess
Cheddar's Cafe
04.2015 - 06.2015
- Guest Services
- Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
- Served food and beverages promptly with focused attention to customer needs.
Crew Member
Sonic drive in
08.2014 - 09.2014
- Make drinks and deal with customers
- Worked front counter, drive-thru and other areas.
- Took orders, prepared meals, and collected payments.
- Worked well with teammates and accepted coaching from management team.
Education
Associate of Applied Science - Healthcare Management
Colorado Technical University
09.2024
Medical Biller and Coder -
Penn Foster
10.2018
Technical certification - Certified Nursing Assitant
San Jacinto College
01.2015
High School Diploma -
Rogers High School
Rogers, TX06.2014
Skills
- 30 wpm in typing
- Medical Billing
- Medical Records
- Medical Terminology
- Accounts Receivable
- CPT Coding
- ICD-10
- Medical Terminology
- Medical Billing
- Documentation review
- Microsoft Word
- Microsoft Office
- Microsoft Excel
- Google spreadsheets
- Microsoft Outlook
- Management
- Claim investigation
- Claims analysis
- Confidentiality handling
- Policy Interpretation
- Claims Investigation
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking Abilities
- Organizing and Prioritizing Work
- Critical Thinking
- Team Collaboration
- Active Listening
- Adaptability and Flexibility
- Effective Communication
- Decision-Making
- Teamwork skills
- Claims Processing
- Computer Proficiency
- Documentation skills
- Team building
- Data Entry
- Claims adjustment
- Self Motivation
- Excellent administrative abilities
- Analytical Thinking
- Prior authorization processing
- Goal Setting
- Interpersonal Communication
- Policy Review
- Coverage Determination
- Insurance Coverage Verification
- Skilled in HRP
- Skilled in Rework
Certification
General lines health and life insurance, 07/01/19, 07/01/21
Timeline
Claims Benefit Specialist
CVS/AETNA
11.2021 - Current
Site Coordinator
YMCA
01.2020 - 03.2020
Medical Billing Specialist
MEDICAL MANAGEMENT PROFESSIONALS
08.2018 - 06.2019
Teacher Assistant
New Braunfels Academy
09.2017 - 05.2018
Apartment leasing receptionist and consultant
AAA Staffing Agency
07.2017 - 09.2017
Assistant Manager
Extended Stay America Hotels
11.2016 - 07.2017
Lead Teacher
Children's Enchanted Learning Center
07.2015 - 09.2016
Server/Hostess
Cheddar's Cafe
04.2015 - 06.2015
Crew Member
Sonic drive in
08.2014 - 09.2014
Photographer
If the Photo Fitz
05.2013 - Current
Medical Biller and Coder -
Penn Foster
Technical certification - Certified Nursing Assitant
San Jacinto College
General lines health and life insurance, 07/01/19, 07/01/21
Associate of Applied Science - Healthcare Management
Colorado Technical University
High School Diploma -
Rogers High School
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