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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEDynamic, innovative, and creative professional with demonstrated expertise seeking a challenging and rewarding position where I can utilize my ethical and highly motivated skills as an accomplished customer service and clerical representative.Experience01/2024- CURRENTReimbursement Specialist - CaremetX-My role is to be responsible for communicating and working with insurance companies and medical billing staff to manage billing and various reimbursements. This position requires an advanced understanding of records, coding, and billing practices to ensure compliance and patient confidentiality.-Checking the status of denied appeals and prior authorizations, submitting appeals and prior authorization for prescription claims, and researching to find ways to overturn denials to approvals.OCTOBER 2023 JANUARY 2024Virtual Benefit Counselor- Aon- Respond to incoming calls from employees to enroll in the core and voluntary benefits- Assist employees in understanding and making their medical and voluntary benefit elections- Enter information accurately into the enrollment program- Determine appropriate benefits based on employees' needs- Verify and update employees beneficiary, address, and phone numberAdditionally, act as an educator and counselor, providing expert advice to our client's employees.09/2022 -07/2023Claims Intake Specialist- Lincoln Financial GroupInvestigate claims made by policyholders to verify the accuracy of the filing and to determine payouts and reimbursements.- Responsible for the initial intake of disability, voluntary, and life claims through both paper and phone intake.- Responsible for entering disability, voluntary and life claims into the appropriate systems with accurate information.- Gather specific details needed to initiate the claim while educating the policyholders on the next steps in the process.- Determine the appropriate claim needs based on coverage, ensuring that the most accurate information is entered for the Claimant and Claims Examiner to progress the claim past initiation.SkillsType 96WPM Proficient with project management software Team player Excellent time management skills Conflict management Public speaking MS Office: Word, Excel, Outlook, Access, PowerPoint Internet Research Problem Resolution Multitasking Customer Service Payroll ICD10 coding, ADP, Payroll Processing, administrative assistant, Data Entry, Loans processing |
