Summary
Overview
Work History
Education
Skills
Timeline
Generic
Julia Riley

Julia Riley

Saint Charles,MO

Summary

Adept at managing high-stress situations and enhancing customer experiences, as demonstrated at Recruiting Solutions/Virtual BO. Specializes in HIPAA compliance and possesses exceptional follow-up skills. Proven track record in improving data accuracy and efficiency, leveraging Microsoft Office expertise to streamline operations. Achieved significant improvements in claims processing and customer service delivery.

Overview

14
14
years of professional experience

Work History

Insurance Verification Representative

Centene, Superior Health Services
St Louis, MO
03.2020 - 03.2020

The position was closed down due to Covid -19 for Health . reasons. Still in 3 weeks training at this point .

On Site Medical Rep-

Recruiting Solutions/Virtual BO
3400 Forest Drive, Suite 2100 Columbia , SC
04.2018 - 09.2018
  • Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
  • Assisted customers in navigating company website and placing online orders, improving overall user experience.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.

Data Entry Clerk

Integrated Resources
4 Ethall Road #403 B Edison, NJ 08817
04.2017 - 06.2018
  • Completed data entry tasks with accuracy and efficiency.
  • Followed established procedures to enter and process data correctly.
  • Organized, sorted, and checked input data against original documents.
  • Scanned documents and saved in database to keep records of essential organizational information.
  • Verified entered data against source documents to maintain consistency across multiple platforms within the organization.

A/R Biller

Midwest Administrative Serices
8701 Boreman Ste #315, St. Louis Mo.63147
11.2016 - 04.2017
  • Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
  • Kept all patient information secure and confidential.
  • Executed billing tasks and recorded information in company databases.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Followed up with appropriate parties to obtain prompt payments.

Data Entry Clerk

K Force Staffing
526 Maryville Center, St. Louis, Mo.63141
07.2016 - 11.2016
  • Completed data entry tasks with accuracy and efficiency.
  • Organized, sorted, and checked input data against original documents.
  • Entered data into various computer systems accurately using Microsoft Office Suite.

Correctional Officer

Department of Corrections
Pacific, MO
10.2005 - 03.2012
  • Managed high-risk situations with professionalism and composure, ensuring the safety of all involved parties.
  • Searched cells of inmates to identify and confiscate contraband and other prohibited items.
  • Maintained inmate safety through vigilant monitoring of behavior and swift intervention during conflicts.
  • Reduced instances of contraband by thoroughly searching inmates, cells, and common areas.
  • Observed and supervised inmates throughout visits, meal time, recreation, phone calls, and showers.
  • Escorted inmates to and from cells, court, hospitals, and medical appointments.
  • Conducted routine and emergency head counts.
  • Maintained accurate records of inmate incidents or infractions using electronic databases or written logs as required.

Education

Associate of Science - Medical Billing & Coding

Ultimate Medical Academy - Clearwater
Clearwater, FL
07.2012

GED -

East Central College
Union, MO
06.1997

Skills

  • HIPAA Compliance
  • Claims Processing
  • Microsoft Office
  • Follow-up skills
  • Attention to Detail
  • Customer Service

Timeline

Insurance Verification Representative

Centene, Superior Health Services
03.2020 - 03.2020

On Site Medical Rep-

Recruiting Solutions/Virtual BO
04.2018 - 09.2018

Data Entry Clerk

Integrated Resources
04.2017 - 06.2018

A/R Biller

Midwest Administrative Serices
11.2016 - 04.2017

Data Entry Clerk

K Force Staffing
07.2016 - 11.2016

Correctional Officer

Department of Corrections
10.2005 - 03.2012

Associate of Science - Medical Billing & Coding

Ultimate Medical Academy - Clearwater

GED -

East Central College
Julia Riley