Organized and detail-oriented dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical and able to communicate effectively to other departments and team members.
Overview
11
11
years of professional experience
Work History
Claims Adjuster
The Loomis Company
12.2020 - 03.2023
Examine, Process, Calculate and adjudicate claims in compliance to plan documentation.
process priorities, Issues list on daily reports.
Enter codes and verify data for computer processing.
Meet and exceed daily claim production goals.
Completed special projects as assigned.
Processed any open audits daily.
Maintained service logs daily.
DME Coordinator
Cardin & Miller Physical Therapy
09.2019 - 08.2020
Maintained 3 offices for durable medical equipment.
Maintained accurate and complete patient records, adhering to HIPAA polices at all times.
Faxed orders to physicians for signatures.
Scanned molds for diabetic inserts and other orthotics.
Ordering of all supplies, shoes, and equipment for all offices.
Sent cans to to appropriate companies for production.
Checked authorizations for patients.
Front end office duties/checking patients in and out.
Schedules patient visits.
Team Coordinator
Heartland Home Care And Hospice
04.2012 - 02.2019
Maintained accurate and complete patient records, adhering to HIPPA polices at all times.
Perform wide variety of clerical duties. Including chart audits, filing, faxing, patient intake, scheduling.
Generate reports for office processes and identify and resolve discrepancies.
Trained new employees, standard operating procedures and company policies.
Acknowledged client/patient issues and resolved them quickly and efficiently.
Insurance verifications and authorizations.
Education
Certificate - Health Education
Cumberland Perry Vo-Tech
Mechanicsburg, PA
06.1986
Associate of Science - Architectural Drafting Technology
ITT Technical Institute
Harrisburg, PA
09.2011
Certificate - Medical Billing And Coding
Prime Tech
Jim Thorpe, PA
09.2019
Skills
Management skills
Critical thinking skills
Medical Terminology
Ability to recognize and repair problems
Electronic record keeping
Inventory Management
Clerical, Data Entry, Office policies
Excellent teamwork skills
Team building
Passion for continuous learning
Timeline
Claims Adjuster
The Loomis Company
12.2020 - 03.2023
DME Coordinator
Cardin & Miller Physical Therapy
09.2019 - 08.2020
Team Coordinator
Heartland Home Care And Hospice
04.2012 - 02.2019
Certificate - Health Education
Cumberland Perry Vo-Tech
Associate of Science - Architectural Drafting Technology