Hilary Carbone
Sicklerville,NJ
Summary
Skilled in navigating complex insurance claims and providing thorough investigations to ensure fair settlements. Have experience coordinating with legal teams, policyholders, and insurance companies to manage claims efficiently. Known for strong analytical skills, ability to interpret policy details accurately, and effective communication that results in resolved disputes. Made significant impacts by streamlining claims processing procedures, enhancing customer satisfaction through timely resolutions.
Overview
18
18
years of professional experience
Work History
Bodily Injury Claims Adjuster
GEICO
Marlton, New Jersey
10.2018 - Current
- Actively sought out new sources of information which could be used to support a claim decision.
- Identified and obtained evidence to ascertain claim value.
- Explained premiums owed to policyholders, agents and underwriters.
- Negotiated settlements with attorneys and claimants.
- Handled property damage and coverage issues within the claim.
- Reviewed medical demand packages for settlement.
Claims Representative
Virtua Hospital
Mount Laurel, New Jersey
06.2015 - 10.2018
- Verified details with policyholders and requested additional information.
- Maintained detailed records of claims, decisions, and financial transactions in compliance with regulatory requirements.
- Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
Medical Billing Specialist
Humedco Corporation
Cherry Hill, NJ
01.2008 - 05.2015
- Responsibilities include data entry, patient demographics, coding and processing, and claims submission
- Issue patient statements and post payments
- Correspond with regional and national organizations to obtain funding for low-income patients
- Conduct A/R dialogues with insurance companies to obtain claims information
- Familiar with Medicare and Medicaid in NJ, PA, GA, CT and NY
- Fluent in Centricity et al
Medical Billing Specialist
Billing Services Corporation
Moorestown, NJ
01.2007 - 01.2010
- Responsibilities included data entry, coding and processing, and claims posting
- Conducted dialogues with insurance companies to obtain claims information
- Developed familiarity with Medicare and Medicaid in NJ and NY, and fluency in MediSoft et al
Education
Bachelor of Science - Health Information Management
Herzing University
Online Campus02.2025
Certifications - Medical Billing and Coding, Receptionist: Front-Back Medical Office, Customer Service Specialist
Medical Consultants Instructional Training Center
01.2007
Veterinary Technology -
Harcum College
Bryn Mawr, PA01.2000
High school or equivalent - Liberal Arts Major
Cherry Hill High School East
01.1999
Skills
- Medical billing and coding
- Customer service
- Problem solving
- Group leadership
- Organization
- Interpersonal communication
- Telephone communication
- General medical terminology
- Anatomical terminology
- Computer skills
- Specialized medical billing software
- Microsoft Office
- Internet
- Detail-oriented
- Goal-oriented
- Dedicated
- Honest
- Dependable
References
Kelly Phillips-(215)-200-6652
Nicole Costello-(908)-894-3423
Nophia’s Shikarzy-(609)634-7501
Timeline
Bodily Injury Claims Adjuster
GEICO
10.2018 - Current
Claims Representative
Virtua Hospital
06.2015 - 10.2018
Medical Billing Specialist
Humedco Corporation
01.2008 - 05.2015
Medical Billing Specialist
Billing Services Corporation
01.2007 - 01.2010
Bachelor of Science - Health Information Management
Herzing University
Certifications - Medical Billing and Coding, Receptionist: Front-Back Medical Office, Customer Service Specialist
Medical Consultants Instructional Training Center
Veterinary Technology -
Harcum College
High school or equivalent - Liberal Arts Major
Cherry Hill High School East