Highly motivated professional with over 10 years of customer experience seeking to secure a long-term position leveraging my exceptional work ethic and adept decision-making skills in a professional setting in order contribute to the success of the company and foster personal career growth.
Overview
5
5
years of professional experience
Work History
Claims Support Services Assistant
Insurance Company Of The West
10.2022 - Current
Process stop pay request through claims system
Research and investigate return checks and re-send as appropriate
Establish appropriate authorization to correct all payment transactions
Work productively in fast-moving environment to process large volumes of payments
Collaborate with internal departments to achieve fast resolution of payment errors
Review content of different state forms
Post medical provider payments to claims
Assist with internal and external audits to confirm compliance with applicable laws and regulations
Workers' Compensation Claims Assistant
Sedgwick
03.2021 - 10.2022
Prepared and process State forms, legal documents, letters or reports and review them for completeness
Posted payments to accounts and maintained records.
Performed administrative tasks by distributing mail and scanning documents
Managed over 50 calls per day
Processed bill payments for entire office
Delegated all office supply orders
Generated, posted and attached information to claim files.
Medical Biller & Coder
California Eye Professionals
08.2019 - 04.2021
Monitored patient data over multiple visits
Prepared billing statements for patients and verified correct diagnostic coding
Orchestrated medical coding, payment posting, accounts receivables and collections
Effective communication skills with insurance carriers while resolving delinquent accounts
Reviewed patient records, identified medical codes and created invoices for billing
Verified insurance of patients to determine eligibility
Posted payments and collections on regular basis.
Audited and corrected billing and posting documents for accuracy
Front Desk Administrator
Coronado Eye Care
02.2018 - 07.2019
Verified insurances and submitted claims
Managed sending out monthly statements and collecting payments
Responsible for counting money and printing all credit card transactions to complete reporting
Aided colleagues, managers and customers through regular communication and assistance
Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention
Prepared weekly employee work schedules to meet operational needs
Maintained transaction security by verifying payment cards against identification
Academic and Technological Literacy | Speech | English 1 at Mater Dei Catholic High SchoolAcademic and Technological Literacy | Speech | English 1 at Mater Dei Catholic High School