Reliable and detail-oriented professional seeking a position that leverages strong communication, organizational skills, and customer service experience. Proven ability to work efficiently both independently and in a team setting.
Overview
9
9
years of professional experience
Work History
Claims Adjuster (Healthcare)
Pride Staff
01.2022 - Current
Reviewed insurance claims and determined eligibility, achieving 99% accuracy in claim approvals.
Accurately coded claims using ICD-10 & CPT-4, reducing coding errors by 15%.
Provided guidance to clients on claim issues, resolving high-volume inquiries efficiently.
Conducted quality control reviews to prevent overpayments and billing errors, ensuring regulatory compliance.
Customer Service Representative
Access2Care
04.2021 - 01.2022
Managed 50+ daily inbound calls while maintaining confidentiality of member information.
Coordinated last-minute transportation trips, improving service fulfillment rate by 20%.
Streamlined processes using company and Lyft software, increasing operational efficiency.
Adapted to shifting priorities to ensure on-time resolution of member requests.
Collections / Asset Recovery Specialist
Diversified Recovery Bureau LLC
03.2019 - 03.2021
Managed high-volume inbound/outbound calls to resolve customer inquiries and collect payments.
Negotiated payment arrangements, successfully reducing overdue accounts by 30%.
Maintained accurate documentation for compliance with local, state, and federal regulations.
Scheduling Representative
Tower Radiology
03.2017 - 03.2019
Managed patient calendars and appointments with a 98% scheduling accuracy rate.
Ensured smooth patient flow while working on-site and remotely, improving patient satisfaction.
Supported front office operations while maintaining a professional and friendly demeanor.