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Title Customer Service Claims Adjuster
Target Location US-TX-Plano
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
EMAIL AVAILABLEPHONE NUMBER AVAILABLEProfessional Summary10 + Years in Administration & Customer ServiceGreat communication skills, supportive attitude, and maintaining integrity.Excellent attention to detail, research abilities, and negotiation with appropriate resolution skills.Ability to know healthcare terminology.Skills SummaryAdministrative Support:Conducted outbound calls as well as answering inbound calls.Schedule AppointmentsInserted patient information into the database.Verify medical insurance.Send documents to the correct department.Help clients with any billing questions.Medical Administration:Managed front-end office management for multiple doctorsHandled inbound and outbound insurance verification.Managed billing and coding data entry collections.Claims Adjuster:Answer incoming phone calls.Effectively identified provider contracts.Verified demographicsManaged collections on past-due accounts and claims.Managed account receivables using a variety of software system platforms.Handled appeals, denials, and pre-authorizations utilized by the various providers.Professional ExperienceTCS Consultants March 2022 - PresentCustomer ServiceMolina Healthcare May 2019 - Oct 2021Insurance Verification SpecialistRadnet Radiologix Feb 2018 - Aug 2019Customer ServiceCrow Medical Billing Nov 2011 - May 2015Lead SupervisorWilliams Medical Billing April 2008 - Mar 2011Claims AdjusterTseng Doctors Medical Mar 2006- Mar 2007Medical AdministratorEducationHigh School DiplomaPlano East Senior High 1982-1984CertificationEverest College 2005-2006

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