Peggy Samboy
Altamonte Springs
Summary
Critical thinker and fast learner with excellent problem-solving skills. Capable of communicating effectively and professionally with other departments. Excellent reputation for resolving problems and improving customer satisfaction. Proficient in Microsoft Word, Excel, and medical billing software.
Overview
8
8
years of professional experience
Work History
Denial Management Specialist (Multiple insurances)
AdventHealth
Maitland, FL
02.2021 - Current
- Boosting customer experiences by reviewing hundreds of claims for dispute or appeal if denied or processed incorrectly
- Achieving success by efficiently and accurately sending accounts to the appropriate department for further review or corrections
- Participating in team meetings to bring ideas/questions that help create/improve processes to achieve goals.
Team Lead (Cigna Aetna Humana Team)
AdventHealth
Maitland, FL
04.2020 - 02.2021
- Created processes with managers, supervisors and others leads to increase productivity
- Effectively trained and supported representatives providing hands-on training and mentoring
- Participated in conferences calls with insurance companies to resolve challenging accounts and receive the maximum allowable to reduce account receivables.
- Successfully appealed denied accounts, worked high-dollar accounts, and refund requests.
Reimbursement Specialist II
AdventHealth
Maitland, FL
10.2017 - 04.2020
- Followed-up on denied and unpaid or problematic claims to resolve problems and obtain payments
- Assigned to work on special projects such as credits, refunds, and high-dollar accounts
- Trained new department employees in proper billing and accounting procedures
Education
Associate of Science - Medical Billing and Coding
City College
Altamonte Springs, FL07-2015
Skills
- Problem-solving
- Detail-oriented
- Time management
- Microsoft Word Excel
- Customer Service
- Fast Learner
- Contract Interpretation
- Data Entry
Websites
Languages
English Proficiency
Spanish Proficiency
Timeline
Denial Management Specialist (Multiple insurances)
AdventHealth
02.2021 - Current
Team Lead (Cigna Aetna Humana Team)
AdventHealth
04.2020 - 02.2021
Reimbursement Specialist II
AdventHealth
10.2017 - 04.2020
Associate of Science - Medical Billing and Coding
City College