Lourdes Cockerham
Greenwood,DE
Summary
Proactive Healthcare Claims Specialist and Medical Biller with extensive experience in managing claims. Skilled in insurance coverage verification, resolving denied claims, and boosting revenue collections. Professional accustomed to handling sensitive, confidential information and investigating complex claims. Committed to maintaining customer satisfaction and contributing to company's financial success.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Healthcare Claims Specialist
HBCS
01.2013 - 08.2024
- Contacted insurance carriers (commerical and TPAs) to verify eligibility and confirm IP authorization on file.
- Communicated with insurance providers to resolve denied/pended or underpaid domestic/international and complex-medical condition claims.
- Maintains confidentiality of all proprietary and protected health information
- Enhanced customer trust and satisfaction by efficiently resolving questions or claim disputes.
Health Biller/Collections Analyst
Delaware Back Pain & Sports Rehabilitation Center
Newark, DE
07.2009 - 12.2012
- Managed BCBS (largest health account) for 7-office practice.
- Resolve primary/secondary denials found on transmittal reports, electronic invalid/rejects, EOBs, close/posting errors and customer-related problems/concerns.
- Document all account activity
- Liaised between patients, insurance companies, and billing office.
- Self-motivated, with a strong sense of personal responsibility.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
Education
Medical Biller/Health Insurance Claims Specialist
Dawn Training Centre
Wilmington, DE03.2009
High School Diploma -
Avon Grove High School
West Grove, PA06.1981
Skills
- Identify and report trends in carrier payments/denials
- Data Analysis/Research
- Microsoft Office
- Self Managing
- Highly Organized
- Attention to Detail
- Problem-solving Abilities
- 98% Quality Scores
- Epic (health records system) Experience
- Effective Communication
Certification
- National Certified Insurance and Coding Specialist / National Center for Competency Testing / May 2009
Languages
Spanish
English
Timeline
Healthcare Claims Specialist
HBCS
01.2013 - 08.2024
Health Biller/Collections Analyst
Delaware Back Pain & Sports Rehabilitation Center
07.2009 - 12.2012
Medical Biller/Health Insurance Claims Specialist
Dawn Training Centre
High School Diploma -
Avon Grove High School
- National Certified Insurance and Coding Specialist / National Center for Competency Testing / May 2009
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