Self motivated individual well versed in investigative and analytical review of highly sensitive information. With over 8+ years of experience with building meaningful relationships, customer service knowledge, and 2+ years in sales. I am looking for a great opportunity with a dynamic team for professional growth.
Overview
7
7
years of professional experience
Work History
Collector 2
Mount Sinai Medical Center Of Florida
09.2023 - Current
Recognizes and identifies key components of complex billing issues and conducted research in response to the minimum collection goal of 100k per month.
Correctly complete and resubmit claims with hospital UB04 billing for outpatient services, resolve CCI edits and Medicare DDE/FISS data input.
Reviews documentation, conducts research/investigation, evaluates, negotiates & solves claims in accordance with contracts, agreements, and insurance policies.
Demonstrates broad understanding of financial transactions to resolve account discrepancies through outbound telephone-based contact with individuals providers.
Claims Representative
Progressive
02.2022 - 06.2022
Care for over 50 + customers daily recently involved in accidents by demonstrating empathy and setting up new claim reports.
Provides professional verbal and written communication to over 40 per day customers including claim status updates, coverage explanations and decisions.
Recognizes and investigates all potential claim exposures, including injury exposures.
Support customer inquiries and insurance policy needs by answering questions regarding coverage, rates, and billing issues.
Medical Collector
University of Miami
05.2018 - 06.2021
3+ year of experience with claims processing, health insurance plans and medical billing. year of experience with medical terminology, CPT and ICD coding.
Experience with evicore, OnBase, and other various healthcare systems.
Over 150 claims per week corrected, completed and processed claims for multiple payer codes.
Excellent written and oral communication skills to exchange claims knowledge or escalate issues with other departments, peers or leadership.
Yoga Instructor
Sunshine Hot Yoga
08.2022 - Current
Demonstrate and teach various yoga poses to students of all levels and earning student/client trust through building relationships.
2+ years of sales experience with upselling studio merchandise, class packages, and private classes
Experience with SalesForce
Proven ability to handle multiple priorities, work in a fast-paced environment and make decisions quickly while demonstrating flexibility though student and teacher relationship.
Education
Associate of Communications - Communications
Miami Dade College
Miami, FL
2016
High School Diploma -
-
06.2013
Skills
3 years of experience in Microsoft Office Products (Word, Outlook, Excel)
Active listening skills
Administrative Support and Research
Excellent interpersonal and communication skills
Additional Information
AWARDS CERTIFIED HOT YOGA INSTRUCTOR , REGISTERED PHARMACY TECHNICIAN
Timeline
Collector 2
Mount Sinai Medical Center Of Florida
09.2023 - Current
Yoga Instructor
Sunshine Hot Yoga
08.2022 - Current
Claims Representative
Progressive
02.2022 - 06.2022
Medical Collector
University of Miami
05.2018 - 06.2021
Associate of Communications - Communications
Miami Dade College
High School Diploma -
-
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