Morgan Wilner
Port Orange
Summary
Detail-oriented Billing Claims Processor with proven success in efficient claims management and regulatory compliance. Strong ability to resolve billing inquiries and discrepancies, ensuring accuracy and customer satisfaction.
Overview
9
9
years of professional experience
Work History
Billing Claims Processor
Halifax Health
Daytona Beach, FL
12.2024 - Current
- Process claims efficiently, ensuring adherence to regulatory guidelines and company policies.
- Review documentation for accuracy, identifying discrepancies and resolving issues promptly.
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Correcting Insurance ID numbers.
- Provide Insurance companies with correct Medical Records needed to pay a claim.
- Appeal denials we receive with any requested information.
- Updating POS on claims and resubmitting as corrected claim.
- Reviewing mail received and distributing to coworkers with whom they belong. Any mail received that is addressed to me is assessed and worked accordingly, usually a response to an appeal.
Billing Customer Service Representative
Halifax Health
Daytona Beach, FL
08.2023 - 12.2024
- Received phone calls from past / current patients who had any sort of billing question.
- Accepted payments from patients.
- Resolved issues patients had with billing, like, if a patient wanted to know why a medication was a specific price, I would contact someone who would look into the specific charge to see if that charge was accurate. I would then relay that back to the patient.
- Sent billing records to patients.
- Sent collection letters to patient to inform them they have a balance on file.
- Collected mail from the mail room and distributed it to which department it needed to go.
- Handled upset patients with a calm and meaningful demeanor.
- Worked with my coworkers to keep the call queue number down.
- Handled angry family / friends of patient who would call looking for patient information
Customer Service Representative
Publix Grocery Store
Daytona Beach, FL
11.2016 - 11.2023
- Resolved customer inquiries and complaints to enhance satisfaction and loyalty.
- Collaborated with team members to streamline checkout processes, improving efficiency.
- Trained new staff on product knowledge and customer service standards.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Ran a cash register with speed and accuracy during busy and high stress situations.
- Bagged groceries and helped customers bring and load groceries into their cars.
- Collected and brought in carts off of the parking lot.
- Supervised and assisted management in watching the front end as a whole, making sure coworkers were cashiering and bagging correctly. While also making sure products were stocked, blocked and items such as bags and cleaning supplies were full.
- Ran the front Customer Service counter, helping customers buy and payout lottery winnings, cash checks, send money through western union, and other things alike.
- Closed the back office, which includes counting every till from each cash register, ensuring tills were not short or over money. Creating deposits, entering all money info into the computer system and setting up new tills for the next work day.
Education
High School Diploma -
Atlantic High School
Port Orange, FL06-2017
Skills
- Claims review
- Accuracy and precision
- Insurance regulations
- Attention to detail
- Claims processing
- Critical thinking
- Active listening
- Insurance coverage verification
- Customer service
- Organizing and prioritizing work
- Insurance claim forms review
- Prior authorization processing
Timeline
Billing Claims Processor
Halifax Health
12.2024 - Current
Billing Customer Service Representative
Halifax Health
08.2023 - 12.2024
Customer Service Representative
Publix Grocery Store
11.2016 - 11.2023
High School Diploma -
Atlantic High School