Tori George
Sr Claims Technician
Atlanta,TX
Summary
Responsible Medical Claims Processor with strong attention to detail and juggles multiple tasks. Go-getter committed to handling claims expeditiously with a strong knowledge of medical terminology. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
1
1
year of post-secondary education
5
5
years of professional experience
Work History
Senior Claims Technician
Health Care Service Corporation
Marshall, TX
04.2018 - Current
- Evaluated accuracy and quality of data entered into agency management system.
- Managed large volume of medical claims on daily basis.
- Reviewed provider coding information to report services and verify correctness.
- Paid or denied medical claims based upon established claims processing criteria.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Retail Banker
Woodforest National Bank
Atlanta , TX
06.2017 - 04.2018
- Assisted customers with setting up or closing accounts, completing loan applications and signing up for new services.
- Answered customer inquiries regarding account balances, transaction history, services charges and interest rates.
- Educated customers on use of banking website and mobile apps.
- Counted and packaged currency and coins.
- Sold and cross-sold bank products to new and existing customers.
- Assisted customers with compromised debit cards and issued new credentials.
- Reconciled cash drawer and resolved discrepancies.
Customer Service Representative
Shamrock Finance
Atlanta , TX
11.2016 - 03.2017
- Communicated acceptance or rejection to applicants via mail, email, telephone or personal consultations.
- Set up, stored and updated customer files, department records and regulatory paperwork.
- Verified credit histories, personal references and employment backgrounds for each applicant.
- Reviewed and validated details of loan applications and closing documentation.
- Processed payments and applied to customer balances.
Certified Nursing Assistant
Jena Nursing And Rehabilitation Center
Jena, LA
06.2016 - 11.2016
- Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Cared for residents in assisted living facility and delivered high-quality support to meet all needs.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
Education
Vocational - CNA, Phlebotomy, EKG Technician
Central Louisiana Technical Community College - Alexandria
Jena, La 08.2014 - 08.2015
Skills
Claims
Documentation abilities
Understanding of medical terms
Microsoft Office
Insurance industry experience
Recording vital signs
Measuring bodily fluids
Timeline
Senior Claims Technician
Health Care Service Corporation
04.2018 - Current
Retail Banker
Woodforest National Bank
06.2017 - 04.2018
Customer Service Representative
Shamrock Finance
11.2016 - 03.2017
Certified Nursing Assistant
Jena Nursing And Rehabilitation Center
06.2016 - 11.2016
Vocational - CNA, Phlebotomy, EKG Technician
Central Louisiana Technical Community College - Alexandria
08.2014 - 08.2015