JENNIFER L. FOX
MEDICAL SUPPORT ASSISTANT
Hopatcong,NJ
Summary
Medical Support Assistant with 15+ years of experience in medical claims processing at individual, team and organizational levels. Multi-tasks and prioritizes workloads with little or no supervision. Performs a wide variety of administrative and clerical duties as a member of the health care team. Knowledge of medical terminology, administrative, department procedures for the management of records and forms, information security and exchange, management of reports and data, scheduling of patient appointments, telephone care, and public relations/customer service. Analytical ability, judgment, discretion, and dedication to customer service.
Overview
28
28
years of professional experience
4
4
years of post-secondary education
Work History
Claims Examiner Level I/II
PRUDENTIAL INSURANCE COMPANY
Rockaway, NJ
02.1987 - 08.1992
- Processed and resolved claims for large Indemnity Groups, Employee Benefits, and Health Maintenance Organization (HMO) policies.
- Dedicated representative to International Company for employee benefits. Responsible for contacting providers and patients to resolve benefit coverage and claim disputes.
- Expert in coverage and claims in Medicare and Coordination of Benefits (COB).
Claims Examiner Level II
HEALTHSOURCE NY/NJ/CHUBB LIFE AMERICA
Parsippany, NJ
08.1992 - 04.1998
- Processed medical claims for various Indemnity Groups, Split-Funded, and Preferred Provider policies (PPO), while maintaining consistently high quality.
- Trained and developed new examiners and acted as their coach to provide constructive feedback and progressive instructions.
- Authorized to resolve high dollar amount claims, such as hospital and no-fault.
Senior Claims Examiner (Tier II)
CIGNA HEALTHCARE
Rockaway, NJ
06.1998 - 10.2002
- Processed Health Maintenance Organization (HMO) and Point-of-Service (POS) claims in a fast-paced environment while maintaining stringent company guidelines for and surpassing high quality standards.
- Assisted managers in multiple tasks and reconciliation projects including late filing to meet company deadlines.
- Provided excellent customer service to both providers and patients in managing claim disputes, resolving policy coverage questions, and rapid claims resolution.
- Worked from home as an individual without supervision, while maintaining company standards.
Claims Specialist
ATLANTIC IMAGING GROUP
Cedar Knolls, NJ
01.2003 - 08.2003
- Processed radiology related claims from in network radiology centers for auto carriers.
- Answered incoming calls and directed calls to correct department.
- Followed up with both radiology centers and auto carriers to determine if claims had been processed or paid.
- Obtained missing information from referring providers for appeals in denials from auto carriers.
Administrative Assistant
STEWART TITLE GUARANTY COMPANY
Parsippany, NJ
07.2006 - 10.2011
- Administrative Assistant to State Agency Services Manager and Agency Service Representatives.
- Process and transmit all agency remittance checks and reports.
- Correspond with home office in Houston, TX to resolve any data issues.
- Lead Associate for verification of Approved Attorneys and active agents for bank lenders while maintaining approved attorney database including obtaining necessary approvals and notifications of non-approved attorneys.
- Respond to agent requests and answer questions or direct calls to the appropriate party.
- Back up in clerical duties such as filing, copying, scanning, faxing, computer entry, typing and opening incoming mail.
Office Assistant
STEWART TITLE GUARANTY COMPANY
Parsippany, NJ
06.2004 - 07.2006
- Provide customer service by answering incoming multi-line calls and direct where needed.
- Responsible for maintaining accounts payable weekly/monthly.
- Assist in clerical duties such as filing, faxing, copying, computer entry, typing and opening incoming mail.
School Bus Aide
Sussex County Regional Transportation Cooperative
Hopatcong, New Jerey
01.2018 - Current
- Greeting students and assisting them on and off bus to make sure they embark and disembark safely.
- Helping students find their assigned seats and making sure seat belts are fastened properly.
- Providing extra care for students with special needs.
- Lead bus evacuations when in an emergency.
- Monitoring student behavior and reinforcing rules and regulations.
Education
Associate of Business Administration - Business Administration
County College of Morris
Randolph Township, NJHigh School Diploma -
Roxbury High School
Succasunna, NJ 09.1981 - 06.1985
Skills
Completing insurance forms
Medical office administration
Patient Scheduling
Patient records maintenance
Patient communication
Emergency procedures understanding
Compassionate
Electronic health records
Adaptable
Payment collection
Efficient and reliable team player
Patient Management
Companionship and emotional support
Medical record assessment
Insurance claims
Medical aid experience
Recognition
Received numerous Circle of Excellence Awards for maintaining Quality for over a three-month period, production over/above 15% and helping on special projects from Cigna Healthcare.
Received award as “Employee of the Quarter” from Chubb Life America for “excellence in customer service and exceptional quality in processing high volume of claims.”
Timeline
School Bus Aide
Sussex County Regional Transportation Cooperative
01.2018 - Current
Administrative Assistant
STEWART TITLE GUARANTY COMPANY
07.2006 - 10.2011
Office Assistant
STEWART TITLE GUARANTY COMPANY
06.2004 - 07.2006
Claims Specialist
ATLANTIC IMAGING GROUP
01.2003 - 08.2003
Senior Claims Examiner (Tier II)
CIGNA HEALTHCARE
06.1998 - 10.2002
Claims Examiner Level II
HEALTHSOURCE NY/NJ/CHUBB LIFE AMERICA
08.1992 - 04.1998
Claims Examiner Level I/II
PRUDENTIAL INSURANCE COMPANY
02.1987 - 08.1992
High School Diploma -
Roxbury High School
09.1981 - 06.1985
Associate of Business Administration - Business Administration
County College of Morris