Resourceful Accounts Payable Clerk known for excellent account management and time management skills. Expert in centricity use and ledger verification with great customer service skills. Meticulous and enterprising worker dedicated to excellence.
Overview
9
9
years of professional experience
Work History
Insurance Claims Specialist
Pfs Group
07.2023 - Current
Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
Evaluated and settled complex insurance claims in strict timeframes.
Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
Maximized client retention by addressing concerns promptly and professionally, consistently demonstrating empathy and understanding during difficult situations.
Followed up with customers on unresolved issues.
Increased productivity by streamlining claim processing procedures and implementing time-saving technologies.
Sharpened professional expertise through continuous learning opportunities such as attending workshops, conferences, and pursuing industry certifications related to insurance claims management.
Streamlined communication with policyholders to clarify claim procedures and requirements, enhancing overall transparency.
Insurance A/R Specialist
Gryphon Healthcare
09.2021 - 06.2024
Handle medical record verification, insurance work on follow up and precept inpatient and outpatient
Improved cash flow by streamlining the invoicing process and implementing a more efficient payment tracking system.
Enhanced financial reporting accuracy by reconciling accounts receivable ledger with general ledger monthly.
Reduced outstanding account balances through diligent follow-up on overdue invoices and negotiating payment arrangements with clients.
Expedited revenue collection by consistently meeting deadlines for generating accurate monthly statements and timely invoice submissions.
Insurance Verification Specialist
State Farm
04.2016 - 04.2018
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Complied with HIPAA guidelines and regulations for confidential patient data.
Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.