Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Timeline
Generic

Mike Matyja

Avon,OH

Summary

Friendly candidate with 25+ years of dependable customer service experience. Dedicated to exceeding service goals through effective communication skills, positive attitude and abilities.

Overview

23
23
years of professional experience
1
1
Certification

Work History

Stop Loss Coordinator

Performance Health
04.2023 - Current
  • File and track specific and aggregate stop loss claims with stop loss carriers to obtain maximum reimbursement for groups.
  • Entering and maintaining reinsurance information in our systems.
  • Communicate potential large claim notifications to carriers and follow up with carriers regarding outstanding filings.
  • Communicate with groups to obtain eligibility information.
  • Coordinate policy year-end claims to ensure claims are paid within the stop loss contractual period.
  • Numerous additional operational functions including claim repricing and reprocessing, handling provider/member disputes, data entry and remote mail.

Appraisal Valuation Coordinator

Corporate Settlement Solutions
04.2021 - 10.2022
  • Communicated with fee appraisers, clients and customers regarding orders, reports and assignment schedules.
  • Assigned orders to the best appraiser in our network based on price, geographic expertise and availability.
  • Obtained fee amounts from fee appraisers for applications requiring loan estimates.
  • Monitored completion of reports and turnaround of orders for fee and staff appraisers.
  • Composed and ordered engagement letters to fee appraisers.
  • Monitored front areas so that questions could be promptly addressed.

Collections/Insurance Reimbursement Specialist

JP Recovery Services, Inc.
10.2000 - 12.2018
  • Efficiently managed over a billion dollars of inventory to maximize revenue for our clients and the organization
  • Designed and implemented tracking systems to ensure prompt and accurate account monitoring and resolution
  • Worked closely with insurance (private, government, and Workers’ Compensation) representatives and medical providers to identify and overcome complex billing issues
  • Provided training and coaching to Associates in Medical Billing and third-party Collections as needed
  • Analyzed priority business, routing to appropriate areas and representatives
  • Investigated and recommended plans to improve workflow and automation in ever changing environment
  • Partnered with company leaders to facilitate functional enhancements
  • Cooperated with Human Resources to assist with employee relations events
  • Maintained contact with outside groups and associations to remain abreast of industry advancements and developments

Education

High School Diploma -

Wickliffe High School
Wickliffe, OH

Skills

  • Innovative Problem-Solver
  • Strategic Thinker
  • Collaborative Team Member
  • Exceptional Communicator
  • Client Relations
  • Process Improvement
  • Time Management
  • Interpersonal Skills

Certification

  • Professional Collection Specialist | ACA International

Additional Information

· Healthcare Collection Management – ACA International
· Leadership Skills: A Playbook for Success – Susan Aldrich & Associates
· Supervisor’s College – Fisher & Phillips, LLC

Timeline

Stop Loss Coordinator

Performance Health
04.2023 - Current

Appraisal Valuation Coordinator

Corporate Settlement Solutions
04.2021 - 10.2022

Collections/Insurance Reimbursement Specialist

JP Recovery Services, Inc.
10.2000 - 12.2018

High School Diploma -

Wickliffe High School

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Mike Matyja