Sarah Wallace
Aberdeen,MD
Summary
Tactful Medical Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
Overview
18
18
years of professional experience
Work History
Insurance Claims Specialist
Express Care Urgent Care Centers
12.2014 - Current
- Charge entry, phone reception, patient billing explanations and clarification of benefits, payment processing, claim handling, addressing denials and appeals, receiving patient payments, and liaising with insurance companies for prompt and efficient processing.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
- Improved overall efficiency of department by mentoring junior staff members on best practices in insurance claims handling and resolution techniques.
- Upheld high level of accuracy by consistently double-checking figures, data entries, calculations, before finalizing any settlement documents or payments.
Office Assistant/Manager
Express Carryout
01.2008 - 01.2014
- Scheduled employees, managed payroll, handled accounting, interacted with all customers, organized filing, and worked with Excel, Access, and Word.
- Additionally, I managed phone inquiries, performed light cleaning duties, and conducted offsite advertise.
- Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
- Enhanced department efficiency by streamlining filing systems and organizing office materials.
Administrative Assistant
American Design and Build
01.2006 - 01.2007
- Conduct routine clerical and organizational tasks, manage files, arrange appointments, respond to telephone inquiries, and offer information to public and clients. Additionally, ensure work area is tidy and perform other duties as required.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Enhanced office efficiency by streamlining administrative processes and implementing organizational systems.
Education
Certification of Medical Office Assistance - Medical Office
Fortis Institute Towson
Towson, MD10.2014
Diploma -
Aberdeen High School
Aberdeen, MD05.2007
Skills
- Claims Investigation, Claims analysis, Claims Processing, Claims adjustment, Insurance Claim Forms Review, Denied claims identification
- Policy Interpretation
- Documentation Review
- Verbal Communication
- Customer Service
- Data Entry
- Payment and Investigation Escalations
- Documentation abilities
- Time Management
- Medicaid, Medicare knowledge
- Records Management
- Skilled in Experity
- Skilled in eClinicalworks
- Multitasking Abilities
- Data Integrity
- Information Verification
Timeline
Insurance Claims Specialist
Express Care Urgent Care Centers
12.2014 - Current
Office Assistant/Manager
Express Carryout
01.2008 - 01.2014
Administrative Assistant
American Design and Build
01.2006 - 01.2007
Certification of Medical Office Assistance - Medical Office
Fortis Institute Towson
Diploma -
Aberdeen High School
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