Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Looking to seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
2
2
years of professional experience
4
4
years of post-secondary education
Work History
Insurance Coordinator
CareCentrix
02.2022 - Current
Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
Maintained compliance with HIPAA regulations while handling sensitive patient information during the verification process.
Kept informed of changes in insurance regulations and policies, ensuring that all verification procedures remained compliant and up to date.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Assisted with submitting authorizations for IRF (acute inpatient rehabilitation facilities), SNF (inpatient skilled nursing facilities) or SAR (sub-acute rehabilitation inside of a skilled nursing facility), and LTCH (long-term care hospitals).
Decreased processing time for authorizations by establishing strong relationships with insurance representatives and case managers.
Aviation Supply Clerk
Continental Motors
Analyzed inventories to determine how to increase inventory turns, reduce waste, or optimize customer service
Received and counted stock items, and record data manually or using computer
Packed and unpacked items to be stocked on shelves in stockrooms, warehouses, or storage yards.
Verified inventory computations by comparing them to physical counts of stock and investigate discrepancies or adjust errors.
Stored items in an orderly and accessible manner in warehouses, tool rooms, supply rooms, or other areas.
Operated company vehicles in order to pick up incoming stock or to deliver parts to designated locations.
Marked stock items using identification tags, stamps, electric marking tools, or other labeling equipment.
Healthcare Representative
Blue Cross Blue Shield of Michigan
Reviewed patient records using medical coding procedures, also providing great customer service
Examined the claims and verify insurance eligibility, as well as record any medical charges and other payments or adjustments
Detected any coding errors or performing any modifications needed
Medical billing, including claims and payment processing, medical coding, and medical terminology
Assisted patients in obtaining and understanding medical benefits, getting pre-authorization for various types of medical treatment options
Managed incoming phone calls to resolve patient inquiries and refer calls to appropriate departments
Responsible for updating any internal databases, which electronically store and organize patients' records, billing details, and registration forms
Participated in case reviews, consulting with the team caring for the client, to evaluate the client's needs and plan for continuing services.
Customer Solutions Expert II – Verifications Associate/Claim Service Center at CARECENTRIXCustomer Solutions Expert II – Verifications Associate/Claim Service Center at CARECENTRIX