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Claim Analyst Resume Dallas, TX
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Title CLAIM ANALYST
Target Location US-TX-Dallas
Email Available with paid plan
Phone Available with paid plan
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                                                       Candidate's Name
                                            Fort Worth , United States Street Address  | PHONE NUMBER AVAILABLE | EMAIL AVAILABLE


Professional Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a
high degree of accuracy.

Accomplishments
     Cleaned up one million dollar of AR over 90day
     Customer Relations - Earned highest marks for customer satisfaction, company-wide.

Skills
     Invoice Processing                                           AR Aging Reports
     Accounts receivable management                               Time Management
     Cash application                                             Attention to Detail
     Dispute Resolution                                           Data Entry
     Billing Software                                             Registered Tax Return Preparer (RTRP)
     Collections Management                                       Registered Tax Return Preparer
     Payment posting

Work History
AR Billing Specialist                                                                               01/2020 - Current
ERO HEALTH   Remote
    Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts.
    Optimized revenue generation by accurately applying appropriate adjustments, write-offs, and refunds as needed.
    Increased overall departmental productivity through active participation in process improvement initiatives
    focused on streamlining AR workflows.
    Ensured compliance with all relevant regulations and industry standards by staying current on updates and
    changes in medical coding guidelines.

Medical Customer Service Representative                                                              05/2018 - 01/2020
ER OF TEXAS   Hurst, TX
    Enhanced patient satisfaction by addressing inquiries and resolving issues related to medical appointments,
    billing, and insurance.
    Managed high call volume with professionalism and empathy, ensuring timely resolution of customer concerns.
    Handled sensitive patient information with confidentiality, adhering to HIPAA regulations at all times.
    Resolved escalated customer complaints efficiently while maintaining composure under pressure situations.
    Assisted in training new team members on company policies and best practices in medical customer service
    delivery.
    Collaborated with cross-functional teams to address complex patient cases, resulting in improved patient
    outcomes.

Medical Biller and Coder                                                                              03/2015 - 01/2018
Klarus Home Care   Fort Worth, TX
    Correctly coded and billed medical claims for various hospital and nursing facilities.
     Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim
     submission.
     Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates
     from insurance companies.
     Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to
     determine proper reimbursement.
     Reviewed patient charts to better understand health histories, diagnoses, and treatments.
     Resourcefully used various coding books, procedure manuals, and on-line encoders.

Eyewear Consultant                                                                                      03/2013 - 03/2015
Vision Works Corp   Fort Worth, TX
     Improved customer satisfaction by providing personalized eyewear recommendations based on individual needs
     and preferences.
     Provided exceptional customer service, addressing concerns and inquiries promptly and professionally.
     Exceeded sales targets through effective product demonstrations and persuasive communication skills.
     Resolved billing issues promptly and professionally, maintaining positive relationships with both clients and
     insurance providers.
     Maintained a clean and orderly work environment that promoted professionalism and efficiency.
     Contributed to store profitability by upselling additional products such as lens coatings, cases, and cleaning
     accessories.
     Trained new employees on company policies, procedures, product offerings, effectively preparing them for
     success in their roles.

Education
Associate of Science: Medical Assisting                                                                         01/2015
Tarrant County College District - Fort Worth, TX

Certifications
     CNP - Certified Notary Public

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