Microsoft Excel, Teams
Iris Winters
Harrisburg,PA
Summary
Experienced Claims Processor and Customer Service Representative with over 20 years of experience in Medical, Auto and Dental. Excellent reputation for resolving problems and improving customer satisfaction.
Overview
3
3
Certifications
6
6
years of post-secondary education
16
16
years of professional experience
Work History
Billing Administrator Specialist
Cornerstone Adminisystems
New Cumberland, PA
01.2017 - Current
- Prepared and distributed team-based communications to foster collaboration and enhance team morale.
- Handled incoming and outgoing mail.
- Delivered top-notch administrative support to office staff, promoting excellence in office operations.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
Customer Service Representative
PA Health And Wellness
Camp Hill, PA
09.2019 - 02.2020
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
- Coordinated individual referrals to obtain community services, advocated for client needs and resolved roadblocks.
Medical Records Specialist
CIOX HEALTH, Health Information Management
Hershey, PA
03.2017 - 10.2019
- Processed medical records requests from outside providers according to facility, state and federal law.
- Utilized EMR to manage and confirm patient data, such as insurance, demographic and medical history information.
Claims Examiner II
Delta Dental Of Pennsylvania
Mechanicsburg, PA
02.2007 - 01.2016
- Investigated and processed [Type] insurance claims for policyholders.
- Verified insurance claims and determined fair amount for settlement.
- Researched claims and incident information to deliver solutions and resolve problems.
Education
High School Diploma -
Harrisburg High School
Harrisburg, PA 09.1981 - 06.1985
Associate of Science - Human Services
Harrisburg Area Community College
Harrisburg, PA 08.2004 - 04.2005
No Degree - Laymen's Counseling
Lancaster Bible College
Lancaster, PA 04.2015 - 10.2016
Skills
Report analysis
Software
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
CCS - Certified Coding Specialist
Timeline
Customer Service Representative
PA Health And Wellness
09.2019 - 02.2020
Medical Records Specialist
CIOX HEALTH, Health Information Management
03.2017 - 10.2019
Billing Administrator Specialist
Cornerstone Adminisystems
01.2017 - Current
No Degree - Laymen's Counseling
Lancaster Bible College
04.2015 - 10.2016
Claims Examiner II
Delta Dental Of Pennsylvania
02.2007 - 01.2016
Associate of Science - Human Services
Harrisburg Area Community College
08.2004 - 04.2005
High School Diploma -
Harrisburg High School
09.1981 - 06.1985