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Click here or scroll down to respond to this candidateCandidate's Name
Street Address N. Livingston AveIndianapolis IN Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLESUMMARYProfessional with strong interpersonal and organizational skills with an ability to multitask in a variety of challenges and responsibilities. Experience in working in a fast paced environment and maintaining a high level of confidentiality and integrity.PROFESSIONAL EXPERIENCECorVel CorporationBill Review Specialist March 2020 to August 2024Make determination on physical therapy billsPay physical therapy billsPinnacle Partners CorVel Corporation December 2019 to March 2020Billing SpecialistSorted mail to correct siteMake determination on therapy billsPay billsAjilon Riley Hospital for Children at IU July 2019 to November 2019SPA-Registration (Contract)Registered direct admitted patientsVerified demographics and insuranceHelped work triage deskWorked as a liaison from both Indiana University Hospital and Riley for bedded patientsWorked in the Emergency Department to register and admit patientsAxelon Tyco Securities September 2017 to July 2019Customer Service Support CoordinatorReviewed and processed emails, letters, and faxes on a daily basis to perform cancellation request from clientsEnforced cancellation and reinstatement policiesWorked efficiently in multiple applications in order to support customer issues across all areas of businessCommunicated with internal/external customer and multiple departments to resolve issues and concerns.Provide formal written communication to internal/external customers summarizing resultsAerotek - Freedom Mortgage Corporation January 2016 to August 2017Document Recovery Specialist (Contract)Work with incoming/outgoing mail; count, sort, open and distribute mail such as payments for monthly mortgage payments, escrow and shortages.Photo copy mailings and send letters from other departments to borrowers and prep files for loss mitigation, bankruptcy and other areas throughout the company.Scan the physical mail in the computer system to load information into different systems such as EDMS and create CITs for cash management teams.Kelly Services Stericycle June 2015 to January 2016Customer Care Coordinator I (Contract)Answered inbound/outbound calls for customers for recalls on different productsContacted providers for customers to have their product serviced or repairedData entry in computer system to update filesThats Good HR-- Surgical Care Affiliates May 2015 to May 2015Payment Clerk (Contract)Answered incoming calls for patients wanting to pay on their facility billsVerified if patients insurance was billed and/or check to see if there was a secondary insurance to billTook payments over the phone, worked with patients if they needed financial assistanceKForce Inc IU Health March 2015 to April 2015Customer Service Representative (Contract)Answered phonesVerified patients demographics and insurance coverage.Made adjustments if necessary on patients bill, took payments over the phone, adjusted medical bills when necessary.Provided financial assistance, submitted bills to collection office and other customer service dutiesKelly Services --Renaissance Dental June 2014 February 2015Operations Specialist/Customer Service Representative (Contract)Ensured dental claims payments were correctly matchedAdjusted claims when necessaryIndexed mailChecked eligibility of membersGave providers benefit information on membersCNO Financial Inc (formerly CONSECO, LLC) February 2006 February 2014Disability Claims Adjuster IIWorked daily from a queue and exceeded daily goalsAdjudicate claims for disability, heart and hospital claimsUtilized HCFA 1500 forms in billing out claimsEstablished proof of loss by studying the proof from outside sources such as and including claimant/policyholder, physician, employer, hospital and possibly other insurance companiesWorked with other adjusters and policyholders to return insurer back to workDocumented medical claims and completed forms and reports related to claim such as logs and recordsInterpreted policy contracts, medical records and other medical documentationResolved claims by either denying or approving based on the documentation receivedLong Term Care Claims AdjusterAdjusted benefit payments on claims for home health care, assisted living and nursing home careComprehended and interpreted insurance contracts and policies, medical records and other medical documentationChecked the certification on the policyholders policies to make sure they are still eligible for benefitsLiberty Mutual July 2000 February 2006Disability Claims Case Manager AssociateProcessed short term disability claims under general supervisionWorked with nurses, doctors and employers to return employee back to workAssessed claim details, determined appropriate claim liability, and issued benefit paymentsCalled employees, employers and doctors offices to get medical records and other information to process claimsTaught procedure on how to do payments for benefits on Liberty Mutual accountTechnical AssistantProcessed medical bills and payments to vendorsProcessed benefit payments for coordinated workers compensation claimsOpened and filed mailProvided excellent customer service over the phoneWrote office duty procedures for office assistantsSr. Office AssistantOpened and filed mail, including UPS ordersPurged files going to storageOrdered office suppliesProvided excellent customer service over the phoneEDUCATIONIndiana Business College Health Claims Examiner (continued studies)Durham Nixon-Clay Business Associates Degree in Accounting (school closed records destroyed)Team Leadership Certificate CNO Financial |
