To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Claims Specialist
Health Advocate
10.2020 - 12.2023
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Followed up with customers on unresolved issues.
Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
Senior Billing Representative
Connextcare
08.2015 - 10.2020
Customer Service
Insurance Payment Posting
Corrected Claims Submission
Contacted insurance carriers
Education
Medical Receptionist/Billing - Medical
Oswego County BOCES
Mexico, NY
1998
High School Diploma -
Pulaski Academy & Central School
Pulaski, NY
06.1994
Skills
Claims
Claims Processing
Claims Investigation
Verbal Communication
Decision-Making
Organizing and Prioritizing Work
Customer Service
Attention to Detail
Teamwork and Collaboration
Eligibility Determination
Timeline
Claims Specialist
Health Advocate
10.2020 - 12.2023
Senior Billing Representative
Connextcare
08.2015 - 10.2020
Medical Receptionist/Billing - Medical
Oswego County BOCES
High School Diploma -
Pulaski Academy & Central School
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