Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Joseph Riddick

Phoenix,AZ

Summary

Seasoned Health Insurance Specialist with excellent planning and problem solving abilities. Offering 19 years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments. Results-focused Health Insurance professional with strength in Revenue Cycling proficient in various internal and external programs. Proactive leader with strengths in communication and collaboration. Proficient in leveraging insurance denial management and drafting appeals overturning denials and extensive knowledge to promote revenue. Adept at managing concurrent objectives to promote efficiency and influence positive outcomes.

Overview

21
21
years of professional experience

Work History

Claims Specialist

ACT
Gainesville , VA
2003.03 - Current
  • Acted as intermediary between hospitals and customers, including researching and assessing information to determine validity of claims.
  • Composed business correspondences for supervisors, managers and other professionals.
  • Corresponded with insurance customers and agents to obtain or relay information on account status changes.
  • Juggled multiple projects and tasks to ensure high quality and timely delivery.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Recognized by management for providing exceptional customer service.
  • Demonstrated leadership by making improvements to work processes and helping to train others.

Education

High School Diploma -

Methacton Sr High
Fairview Village PA
06.1984

Some College (No Degree) -

BYU
Provo UT

Some College (No Degree) -

West Chester University Of Pennsylvania
West Chester, PA

Some College (No Degree) -

Montgomery County Community College
Blue Bell, PA

Skills

  • Documentation review
  • Accident investigations
  • Reporting abilities
  • Account management expertise
  • Regulatory compliance understanding
  • Documentation skills
  • Planning
  • Coordination
  • Critical thinking
  • Teambuilding
  • People skills
  • Basic math
  • Conflict resolution

Accomplishments

  • Led team to achieve client monthly revenue goals, earning recognition from upper management and financial reward.

Timeline

Claims Specialist

ACT
2003.03 - Current

High School Diploma -

Methacton Sr High

Some College (No Degree) -

BYU

Some College (No Degree) -

West Chester University Of Pennsylvania

Some College (No Degree) -

Montgomery County Community College
Joseph Riddick