Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
34
34
years of professional experience
Work History
Medical Insurance Biller
Memorial Medical Center
Springfield, IL
09.1998 - Current
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Submitted claims to insurance companies.
Reviewed received payments for accuracy and applied to intended patient accounts.
Maintained up-to-date understanding of insurance payment practices.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Coordination of Benefits Examiner
Blue Cross and Blue Shield
Springfield, IL
01.1990 - 09.1998
Evaluated applications and assessment results to determine eligibility and acceptance.
Ensured that all required notifications were sent out promptly following decisions on claims.
Monitored progress throughout the life cycle of each claim ensuring timely resolution.
Adhered strictly to company standards when evaluating cases for payment authorization.
Reviewed and analyzed claims to ensure accuracy of information, completeness of medical records, and compliance with policy terms.
Hospital Employed Ob/GYN Physician at Memorial Medical Clinic/Memorial Medical Center, Medical ClinicHospital Employed Ob/GYN Physician at Memorial Medical Clinic/Memorial Medical Center, Medical Clinic