Timothy Warren
Columbus,OH
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
15
15
years of professional experience
Work History
Rural Mail Carrier
USPS, United States Postal Service
New Albany, Ohio
04.2016 - Current
- Delivered various types of mail on routes according to strict timelines.
- Collected outgoing mail from homes and businesses to deliver to post office for processing.
- Sorted mail for delivery, arranging mail in delivery sequence.
- Separated mail to be transported to relay boxes along route for subsequent delivery.
Provider Data Specialist
United Healthcare Group
Westerville, OH
11.2014 - 04.2016
- Conducted regular audits of existing provider files for compliance purposes.
- Reviewed provider data submissions to ensure accuracy and completeness of information.
- Utilized various databases and tools to validate provider information such as licenses, certifications.
- Assisted in establishing criteria for evaluating potential providers prior to onboarding them into the system.
Billing Specialist
York / Frank Gates
Dublin, OH
02.2013 - 10.2014
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Reconciled codes against services rendered.
- Analyzed and interpreted patient medical and surgical records to determine billable services.
Enrollment Specialist & Claims Adjuster
Anthem Blue Cross Blue Shield
Worthington, OH
10.2008 - 07.2012
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Analyzed medical claims for accuracy, completeness, and compliance with company policies and procedures.
- Researched complex issues related to accounts or services provided by the organization.
- Reviewed new account applications to verify eligibility of prospective members.
Education
Bachelor of Business - Supply Chain Management
DeVry University
Columbus, OHIo04-2021
Skills
- Files and Records Management
- Excel and Word Proficiency
- Claims Review and Processing
- Teamwork and Collaboration
- Billing and Collection Procedures
- HIPAA Compliance Certification
- Insurance Claims Processing
- Contract Negotiating
References
References available upon request.
Timeline
Rural Mail Carrier
USPS, United States Postal Service
04.2016 - Current
Provider Data Specialist
United Healthcare Group
11.2014 - 04.2016
Billing Specialist
York / Frank Gates
02.2013 - 10.2014
Enrollment Specialist & Claims Adjuster
Anthem Blue Cross Blue Shield
10.2008 - 07.2012
Bachelor of Business - Supply Chain Management
DeVry University
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