Michelle Goodman
Franklin,IL
Summary
Detail-oriented Subrogation Analyst with proven skills in claims evaluation, legal documentation, and data management. Committed to identifying recovery opportunities and streamlining subrogation processes. Analytical and strategic Subrogation Analyst known for high productivity and efficient task completion. Specialize in claims analysis, negotiation tactics, and legal research to swiftly resolve cases and recover funds. Excel in problem-solving, communication, and teamwork to navigate complex subrogation processes and achieve optimal outcomes. Committed to maintaining up-to-date knowledge of laws and regulations affecting subrogation to ensure compliance and maximize recovery efforts.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Subrogation Analyst
Blue Cross and Blue Shield
Springfield, IL
09.2023 - Current
- Analyzed medical records to identify liable third parties for reimbursement.
- Collaborated with legal teams to prepare documentation for subrogation actions.
- Communicated with policyholders to clarify subrogation processes and requirements.
- Maintained accurate records of all subrogation activities and correspondence.
- Reviewed insurance claims to identify subrogation recovery opportunities.
- Analyzed claims data to identify subrogation opportunities and recoveries.
- Communicated with policyholders to gather necessary information for claims.
- Documented case progress in compliance management systems accurately.
- Investigated suspicious claim activity and conducted necessary follow-ups.
- Negotiated settlements with third parties regarding payment of subrogation claims.
- Monitored progress on assigned cases, identified potential delays or roadblocks, and took corrective action as needed.
- Interpreted policy language from insurance contracts to determine coverage for subrogation rights.
- Maintained accurate records of all incoming and outgoing documents related to subrogation claims.
- Researched statutes of limitations applicable to various states in order to identify potential recovery opportunities.
Medical Office Specialist
SIU Family Medicine
Springfield, IL
11.2020 - 09.2023
- Managed patient scheduling and maintained appointment calendars to optimize workflow.
- Coordinated medical records requests while ensuring compliance with privacy regulations.
- Facilitated communication among providers, patients, and insurance companies for effective collaboration.
- Performed data entry of patient information into electronic health records system accurately.
- Trained new staff on office procedures and best practices for patient interaction consistently.
- Maintained inventory of medical supplies and ordered items as needed regularly.
- Greeted patients upon arrival, checked-in, collected paperwork, and directed to exam rooms.
- Submitted diagnosis and procedure codes to insurance companies for processing.
Medical Office Associate
SIU Family Medicine
Springfield, IL
11.2014 - 11.2020
- Coordinated communication among patients, staff, and external healthcare resources to enhance service delivery.
- Trained new staff on office procedures and patient interaction protocols for improved operational efficiency.
- Supported billing by preparing invoices and managing payment collections effectively.
- Provided customer service support to resolve inquiries regarding clinic services and processes.
- Assisted in scheduling appointments and verifying insurance coverage for optimal patient flow.
- Verified insurance eligibility through phone and online portals to ensure accurate billing.
- Answered incoming calls, addressing inquiries and routing them to appropriate departments.
- Scheduled patient appointments via phone and in person while maintaining confidentiality.
Sales Clerk
Fast Stop
Franklin, IL
02.2012 - 11.2014
- Operated cash register and processed transactions with efficiency.
- Stocked shelves and organized merchandise for accessibility.
- Maintained cleanliness and order in sales area.
- Handled returns and exchanges per store policy.
- Monitored inventory levels, reporting shortages to management.
- Greeted customers and addressed inquiries professionally.
- Checked delivered merchandise and verified shipment accuracy against order information.
- Trained staff to enhance customer service skills and product knowledge.
Education
High School Diploma -
Lincoln Academy
Houston, TXSome College (No Degree) - CNA
Lincoln Land Community College
Jacksonville, ILSkills
- Claims evaluation and analysis
- Legal documentation
- Medical record assessment
- Subrogation negotiation
- Time management
- Data management
Certification
certified nursing assistant
References
References available upon request.
Timeline
Subrogation Analyst
Blue Cross and Blue Shield
09.2023 - Current
Medical Office Specialist
SIU Family Medicine
11.2020 - 09.2023
Medical Office Associate
SIU Family Medicine
11.2014 - 11.2020
Sales Clerk
Fast Stop
02.2012 - 11.2014
High School Diploma -
Lincoln Academy
Some College (No Degree) - CNA
Lincoln Land Community College