Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shahla Arabpour

Leander,TX

Summary

Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.

Overview

13
13
years of professional experience

Work History

Claims Specialist

VisionWeb
03.2015 - 07.2018
  • Followed up with customers on unresolved issues.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Generated, posted and attached information to claim files.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

Insurance Claims Specialist

ProClaim
01.2013 - 12.2014
  • Handled insurance filing including correcting claims and other processes involving claims.
  • Evaluated and settled complex insurance claims in strict timeframes.

Optometry Technician Team Lead

McCormick Vision Source
07.2010 - 10.2014
  • Handled insurance filing and reimbursement with Aetna, BCBS, Cigna, Medicare and many other
  • Assisted accountant and manager with entering insurance payments
  • Customer Service and Administrative Tasks
  • Administered tests with medical equipment such as Optomap, GDX Scanning and Retinal Photography System
  • Responsible for teaching and dispensing contact lenses
  • Responsible for ordering inventory through various vendors such as Bausch and Lomb, Vistakon and Cooper Vision.
  • Input patient information and exam findings into electronic medical records system to facilitate accurate record-keeping.
  • Coordinated patient scheduling, monitored patient flow throughout office and properly communicated delays.

Optometric Technician/Assistant Manager of Operations

Master Eye Associates
12.2005 - 07.2010
  • Responsible for Customer Service and resolving patient issues
  • Responsible for administrative tasks and filing insurance claims with various insurance companies
  • Hired and trained new optometric technicians
  • Responsible for Data entry and calling other medical offices to obtain patient history
  • Responsible for ordered inventory through different vendors and teaching and dispensing contact lenses
  • Persuaded patients to allow the physician to perform preventative care tests, resulting in increase in revenue.
  • Collaborated with optometry staff to reach individual and team goals.
  • Operated and maintained lensometers, refraction units, auto-refractors, and visual field analyzers for patient testing.
  • Promoted positive and smooth patient flow throughout facility, encouraging more efficient operations and boosting patient satisfaction.

Education

University of Texas /Austin Community College
05.2014

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Connally High School
05.2003

Skills

  • Claims Processing
  • Insurance knowledge

Timeline

Claims Specialist

VisionWeb
03.2015 - 07.2018

Insurance Claims Specialist

ProClaim
01.2013 - 12.2014

Optometry Technician Team Lead

McCormick Vision Source
07.2010 - 10.2014

Optometric Technician/Assistant Manager of Operations

Master Eye Associates
12.2005 - 07.2010

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Connally High School

University of Texas /Austin Community College
Shahla Arabpour