Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. A go-getter committed to handling claims expeditiously.
Overview
24
24
years of professional experience
Work History
Networking Assistant
Comcast Media Center
Denver, CO
01.2017 - 10.2019
Investigated and corrected problems with printers, copiers and other peripheral devices.
Monitored network hardware operations to evaluate proper configuration.
Diagnosed and executed resolution for network and server issues.
Improved overall user experience through support, training, troubleshooting, improvements and communication of system changes.
Referral Coordinator
Denver Endocrinology Center
Denver, CO
02.2015 - 01.2017
Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
Called insurance companies to get precertification and other benefits information on behalf of patients.
Scheduled appointments with specialists on behalf of clients.
Insurance Verification Specialist
Blue Cross And Blue Shield
Denver, CO
03.2013 - 09.2015
Determined appropriateness of payers to protect organization and minimize risk.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Posted payments to accounts and maintained records.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Insurance Specialist
Farmers Insurance Agency
Overland Park, KS
03.2005 - 08.2011
Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
Followed up on denials, late payments, extensions and other special circumstances.
Approached potential clients by using direct marketing mailings and phone contacts.
Cultivated new business by offering presentations on financial well-being to individuals and groups on term and whole life insurance.
Quality Controller
AT&T
Lee's Summit, MO
04.1993 - 08.2003
Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
Front Desk & Guest Relations Specialist at Four Seasons Hotel Philadelphia at Comcast CenterFront Desk & Guest Relations Specialist at Four Seasons Hotel Philadelphia at Comcast Center