Dynamic payment and claims processor with over 10 years of experience in accurately processing transactions and resolving complex issues. Strong analytical skills and attention to detail drive effective solutions and enhanced customer satisfaction.
Overview
32
32
years of professional experience
Work History
Payment Processor
FIS
Bolingbrook, Illinois
06.2022 - 01.2026
Managed documentation for payment approvals and organized records efficiently.
Reviewed payment requests for accuracy prior to processing.
Monitored transaction reports to identify trends or issues in payments.
Responded promptly to customer inquiries regarding payment status.
Performed daily reconciliation of payments received against due invoices.
Identified opportunities for improvement in payment operations procedures.
Claims Processor
Blue Sky Innovations
Chicago, Illinois
03.2019 - 06.2022
Processed incoming insurance claims efficiently while maintaining accuracy.
Reviewed documentation thoroughly to ensure compliance with company policies.
Clarified details and requirements of claims through effective client communication.
Researched discrepancies in submitted records to identify errors or omissions.
Kept current on changes in insurance regulations impacting claims processing.
Engaged in educational opportunities and professional networks to enhance expertise.
Claims Processor
Lake Shore Hospital
Chicago, Illinois
03.2011 - 03.2019
Evaluated validity of assigned claims by verifying medical necessity of services against established guidelines, contributing to accurate claim processing.
Analyzed claim forms, medical reports, bills, and related documents to ensure data accuracy and compliance with processing standards.
Verified claim data correctness in preparation for processing.
Coordinated benefits with medical insurance plans and Medicare providers.
Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.
Surgery Scheduler
West Suburban Hospital
Oak Park, IL
01.2005 - 03.2011
Streamlined resource allocation by coordinating multi-departmental surgery schedules.
Managed electronic scheduling systems to guarantee accuracy of patient records.
Scheduled follow-up appointments according to post-operative care protocols.
Effectively communicated with patients and medical staff for appointment confirmations.
Resolved scheduling conflicts through stakeholder negotiation.
Delivered administrative support ensuring adherence to healthcare regulations.
Kept current on surgical procedures and protocols to inform scheduling decisions.
Worked closely with doctors' offices to improve patient referral efficiency for surgeries.
Team Lead
Wickes Furniture
Carol Stream, Illinois
10.1993 - 01.2005
Enhanced team productivity through strategic development focused on customer service improvement.
Empowered team members to boost customer satisfaction, contributing to retention and growth.
Guided team members in achieving timely task completion with maintained quality standards.
Delegated daily tasks effectively to optimize group productivity.
Promptly addressed escalated customer complaints, ensuring efficient resolution of issues.