Samantha Farrell
Gallatin,TN
Summary
Supportive Eligibility Specialist with over 9 years experience in Medical Office Operations within fast-paced environments. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Familiar with daily business operations, such as Medical Records Management, Account Recovery, Claims Processing, HIPAA compliance, and numerous administrative functions.
Overview
11
11
years of professional experience
Work History
Eligibility Specialist
Southern Benefit Administrators
03.2018 - Current
- Verify eligibility for members and providers alike for union-based employees.
- Manage 6 health funds with approximately 4,000 members
- Handle hours, Enrollment Forms, and daily administrative tasks including taking 30+ incoming calls and emails daily
- Monthly and quarterly counts, letters, cards, etc. mailed out.
- Communicated with people from various cultures and backgrounds on application process.
- Processed and certified documents for accuracy and compliance with government regulations.
- Assisted clients with accurate eligibility form, application and document completion.
- Assisted clients with completion of applications and paperwork.
Insurance Specialist
Xtend Healthcare
10.2015 - 03.2018
- Contact insurance companies in order to solve errors with medical claims.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Researched and resolved routine and complex issues.
- Communicated effectively with members of operations, finance and clinical departments.
- Responded to customer calls swiftly to resolve issues and answer questions.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
- Utilized CRM software to manage client relationships.
Department of Education Collector
Windham Professionals
09.2014 - 06.2015
- Student Loan Collections.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Contacted customers to discuss payment schedules and set up or immediately process payments.
- Persistently reached out to customers with extremely past due accounts to recover lost revenue.
- Maintained high volume of calls and met demands of busy and productive group.
Dietary Clerk
NHC Healthcare
07.2012 - 08.2014
- Managed dietary clerk office
- Responsible for entering meal plans into the computer and family relations.
- Focused on satisfying patients' food service needs and dietary requirements.
- Built relationships to promote collaborative environment.
- Printed menus, tray tickets, tallies and nourishment labels.
- Delivered patient meal trays, beverages, snacks and floor stock.
- Checked trays on tray line for accuracy, temperature and appearance.
Education
Some College (No Degree) - Human Resources Development
University of Phoenix
FranklinHigh School Diploma -
Merrol Hyde Magnet School
Hendersonville, TN05.2007
Skills
- Customer Service
- Insurance Verification
- Program Knowledge
- Applicant Engagement
- Telephone Etiquette
- Documentation and Paperwork
- Effective Communication Skills
- Proficiency in Word and Client Software
- Data Entry
- Application Review
- HIPAA Compliance Training
- Eligibility Determination
- Payment Collection
Personal Information
Title: Insurance Specialist
Timeline
Eligibility Specialist
Southern Benefit Administrators
03.2018 - Current
Insurance Specialist
Xtend Healthcare
10.2015 - 03.2018
Department of Education Collector
Windham Professionals
09.2014 - 06.2015
Dietary Clerk
NHC Healthcare
07.2012 - 08.2014
Some College (No Degree) - Human Resources Development
University of Phoenix
High School Diploma -
Merrol Hyde Magnet School
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