Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
Business Administrator
Jake's INC
Altamont, NY
04.2022 - Current
Developed and implemented office policies and procedures.
Organized meetings, conferences, teleconferences, and travel arrangements for staff.
Managed the daily operations of the business office including accounts payable and receivable, payroll, budgeting, purchasing and inventory control.
Coordinated with external vendors to ensure timely delivery of services or products.
Performed administrative tasks such as filing documents, updating databases, preparing reports and responding to inquiries.
Maintained up-to-date records of all financial transactions including invoices, receipts and expenditures.
Processed payments made via credit cards or direct deposits into appropriate accounts.
Monitored compliance with applicable laws and regulations governing business activities.
Maintained work safety and followed established operating procedures and practices.
Managed office operations, scheduling and inventory audits.
Implemented business processes to streamline daily operations and increase efficiency.
Medical Claims Representative
Progressive Insurance Companies
Albany, NY
02.2017 - 04.2022
Reviewed patient records to verify insurance coverage and eligibility for services.
Compiled and submitted claims forms, medical reports, and other supporting documents to insurance companies.
Investigated and resolved denied or rejected claims quickly and accurately.
Maintained detailed records of all activities related to claims processing.
Analyzed claim information for accuracy prior to submission.
Verified coding accuracy on medical bills in accordance with insurance regulations.
Advised patients regarding billing issues, payment options, and reimbursement procedures.
Assisted customers with inquiries about the status of their claims via telephone or email.
Researched complex cases as needed by consulting with physicians or other health care providers.
Evaluated customer complaints, identified root causes, and took corrective action as appropriate.
Performed quality assurance reviews of completed work before submitting it for review and payment.
Attended meetings with internal staff members and external vendors as needed.
Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Accurately processed large volume of medical claims every shift.
Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
Assisted claimants, providers and clients with problems or questions regarding claims.
Examined claims, records and procedures to grant approval of coverage.