KARIN ANDERSON
Downers Grove,IL
Summary
Pleasant Chiropractic Assistant with passion for supporting improvement of overall physical health and well-being. Offering 10 years of patient interaction, insurance verification and appointment scheduling. Astute and intuitive individual with exceptional composure.
Excellent knowledge of the Eclipse Software for Chiropractors.
Overview
43
43
years of professional experience
Work History
Chiropractic Assistant
Churchill Chiropractic
09.2013 - Current
- Answered phones to respond to customer questions, provide information and schedule appointments.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Assisted chiropractor during patient exams to implement treatment plans quickly.
- Greeted incoming visitors warmly and directed patients to appropriate areas to keep office running smoothly.
- Performed electric muscle stimulation, massage, and mechanical traction.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Learned and followed laws and HIPAA guidelines to keep office compliant with industry regulations.
- Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Contacted insurance carriers to determine patients' coverage and sent invoices for services rendered.
- Input patient data into computer system using Eclipse and checked information for accuracy.
- Performed administrative tasks by maintaining inventory, ordering supplies and scheduling staff meetings.
- Scheduled patient appointments for busy chiropractic practice with revenues of $[Amount] annually.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Oriented and trained new staff on proper procedures and policies.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Handle both patient and insurance billing.
- Referral of outstanding unpaid accounts to collections.
Senior Claims Specialist
Vericlaim, Inc
04.2009 - 03.2013
- Followed up with customers on unresolved issues.
- Conducted risk evaluations on claims settlement proposals to encourage sound decision-making regarding settlement offers.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
Senior Claims Consultant
Continental Casualty Co/CNA
03.1986 - 03.2007
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Conducted full claim investigations and reported updates and legal actions.
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Negotiated with other involved parties to arrange settlements for maximum results.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Collaborated with legal counsel to make organizational claims decisions aligning with governing laws.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Claims Specialist
Professional Managers
01.1985 - 02.1986
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Conducted full claim investigations and reported updates and legal actions.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Negotiated with other involved parties to arrange settlements for maximum results.
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
Claims Adjuster
SHAND MORAHAN
09.1980 - 12.1984
- Examined claims forms and other records to determine insurance coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Negotiations of settlements and preparation of reports to verify the damages.
- Established relationships with clients and insurance companies to foster timely claims resolution.
Education
Personal Training Certificate - Personal Training
National Academy of Sports Medicine
Chicago, IL08.2013
No Degree - Various Insurance Courses And Designations.
Insurance Institute
Chicago, IL12.2000
Paralegal Certificat - Certified Paralegal
Roosevelt University
Chicago, IL09.1980
Bachelor of Arts - Geology
Carleton College
Northfield, MN06.1980
Skills
- Medical Billing
- Massage Therapies
- Insurance Verification
- Charting
- Payment Collection
- X-Ray Development
- Service Promotion
- Effective Written and Verbal Communication
- Medical Terminology
- Patient Care
- Patient Flow Management
- Collections
- Personal Training and exercise consultation
Timeline
Chiropractic Assistant
Churchill Chiropractic
09.2013 - Current
Senior Claims Specialist
Vericlaim, Inc
04.2009 - 03.2013
Senior Claims Consultant
Continental Casualty Co/CNA
03.1986 - 03.2007
Claims Specialist
Professional Managers
01.1985 - 02.1986
Claims Adjuster
SHAND MORAHAN
09.1980 - 12.1984
Personal Training Certificate - Personal Training
National Academy of Sports Medicine
No Degree - Various Insurance Courses And Designations.
Insurance Institute
Paralegal Certificat - Certified Paralegal
Roosevelt University
Bachelor of Arts - Geology
Carleton College
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