Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Marc Graham

Land O Lakes,FL

Summary

Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicare, Medicaid and private policy benefits for ambulance services. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic. Detail-oriented Claims Specialist driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view. Detail-oriented Claims Specialist driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view.

Overview

24
24
years of professional experience

Work History

Claims Specialist

Fallon Ambulance
Quincy, MA
11.2008 - 11.2022
  • Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes
  • Precisely calculated refunds, premiums and adjustments
  • Handled billing related activities focused on medical specialties
  • Prepared and reviewed insurance-claim forms and related documents for completeness
  • Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.

Accounts Receivable Specialist

Simpson, Gumpertz & Heger
Waltham, , MA
08.2005 - 02.2008
  • Monitored customer account details to minimize or rectify non-payments, delayed payments and other irregularities.
  • Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Evaluated open accounts to look for past-due balances and pursue collection strategies.
  • Maintained accounting records by performing routine calculating, posting and verifying duties.
  • Prepared and submitted accounting documents and reports for review, authorization and processing.

Accounts Receivable Specialist

Keane, Inc.
Charlestown, MA
01.1999 - 08.2005
  • Monitored customer account details to minimize or rectify non-payments, delayed payments and other irregularities.
  • Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Evaluated open accounts to look for past-due balances and pursue collection strategies.
  • Posted and verified entries to logs, spreadsheets or reports to update department records and accounting systems.
  • Maintained accounting records by performing routine calculating, posting and verifying duties.
  • Prepared and submitted accounting documents and reports for review, authorization and processing.
  • Assisted in streamlining accounts receivable process by identifying areas for performance improvement.
  • Generated reports to offer exposure and risk guidance to functional counterparts and facilitate audits.
  • Recorded debit, credit and account transactions in computer spreadsheets and databases.
  • Reconciled or entered report discrepancies found in financial records.

Wauconda
Illinois
05.1983
  • High School Diploma

Education

High School Diploma -

Wauconda

Skills

  • Documentation Review
  • Settlement Determinations
  • Coverage Assessments
  • Verbal and Written Communication
  • Customer Service
  • Data Entry
  • Insurance Claim Forms Review
  • Eligibility Determination
  • Organizing and Prioritizing Work
  • Time Management
  • 10-key Touch
  • Attention to Detail
  • Coverage Determination
  • Teamwork and Collaboration
  • Insurance Carrier Applications
  • Information Verification
  • Payment and Investigation Escalations
  • Data Entry Software
  • Proofreading and Editing
  • Composing Business Correspondence
  • Active Listening
  • Billing Software
  • Recordkeeping Organization

Additional Information

2008 - 2012 Worked in the Quincy Office. 2012 - 2022 Worked remotely in Florida

Timeline

Claims Specialist

Fallon Ambulance
11.2008 - 11.2022

Accounts Receivable Specialist

Simpson, Gumpertz & Heger
08.2005 - 02.2008

Accounts Receivable Specialist

Keane, Inc.
01.1999 - 08.2005

Wauconda
05.1983

High School Diploma -

Wauconda
Marc Graham