Summary
Overview
Work History
Education
Skills
Timeline
Generic

Miriam Sherwood

Mays Landing

Summary

Assistant Teacher passionate about helping children complete tasks and learn new concepts. Skilled at evaluating student progression and adapting lesson plans to facilitate learning and growth. Caring and compassionate with students from diverse backgrounds and with different learning styles.

Overview

11
11
years of professional experience

Work History

Claims Resolution Specialist

Caduceus Healthcare
06.2023 - Current
  • Analyzed claims to ensure compliance with healthcare regulations and company policies.
  • Collaborated with cross-functional teams to resolve complex claim disputes effectively.
  • Utilized claims management software to track and document resolution processes efficiently.
  • Reviewed documentation for accuracy, identifying discrepancies and initiating corrective actions.
  • Educated clients on claims processes, improving understanding and reducing inquiry volume.
  • Streamlined workflows by implementing best practices in claims processing and dispute resolution.

Claims Reimbursement Specialist

Village Medicine
04.2018 - 06.2023
  • Processed claims for reimbursement, ensuring compliance with regulatory guidelines.
  • Collaborated with healthcare providers to resolve discrepancies and expedite claim approvals.
  • Analyzed billing data to identify patterns and improve claims submission accuracy.
  • Trained new staff on claims processing systems and best practices for efficiency.

Assistant Teacher

Son Catchers Learning Center
01.2015 - 03.2017
  • Collaborated with lead teacher to develop and implement lesson plans tailored to student needs.
  • Assisted in classroom management, fostering a positive and engaging learning environment.
  • Supported individual students through personalized instruction and academic coaching strategies.
  • Monitored student progress, providing feedback to enhance learning outcomes and participation.
  • Facilitated small group activities, encouraging teamwork and active engagement among peers.

Education

Medical Claims

Harris School of Business
Linwood, NJ
04-2018

High School Diploma -

Washington Township High School
Sewell
06-2014

Skills

  • Documentation skills
  • Insurance terminology
  • Customer service
  • Office administration
  • Organization
  • Appointment scheduling
  • Spreadsheet management
  • Parent-teacher communication
  • Problem-solving
  • Classroom technology
  • Time management
  • Parent and caregiver relations

Timeline

Claims Resolution Specialist

Caduceus Healthcare
06.2023 - Current

Claims Reimbursement Specialist

Village Medicine
04.2018 - 06.2023

Assistant Teacher

Son Catchers Learning Center
01.2015 - 03.2017

Medical Claims

Harris School of Business

High School Diploma -

Washington Township High School

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