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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Phone: PHONE NUMBER AVAILABLE Email: EMAIL AVAILABLEPROFILE SUMMARYDetail oriented - Ability to multi-task Strong attention to details
Team player Expansive thinker Problem Solver Creative ThinkerKnowledge of claims and insurance for employees, customers, and corporations.Leader at providing tools and knowledge for others.WORK HISTORYClaims Specialist Emory Healthcare Atlanta, GA 10/2011 PresentAdministrated Orthepedic patients medical records via EPICMaintained schedules and calendars for weekly office visits.Entered data from physicians and patients while adhering to HIPPA.Managed escalated calls as needed for account discrepancies to Tier TwoProcessed orders for surgery and submitted referrals of patient medical proceduresSubmitted payments via cloud or proprietary software.Train new employees of new office software skillsCollaborate with experts such as medical professionals, accident reconstruction specialists, and engineers to assess complex claims.Claims Administrator Automatic Data Processing Alpharetta, GA 03/2004 -- 10/2011Processed and researched medical claims for healthcare accounts in DocutreevResolved 70 to 150 disputed case issues through ClarifyAdministrated employees with their benefit, enrollment informationResearched and resolved claims in SAP database system and monitored daily reports for all claims in Microsoft ExcelMaintain accurate records of claims activities, correspondence, and settlements using company systems and databases.Purchasing Agent Philips Medical Atlanta, GA 06/2003-03/2004Processed Purchase Orders through SAP for engineers, physicians, and hospitalsDispatched technicians to facilities for troubleshooting issuesGenerated reports in Microsoft Excel and AccessArranged shipment for customers, providing ETA and confirmation for deliveryAdvised of correct product numbers for customers when using Philips websiteLoan Advisor Lending Tree Charlotte, NC 08/2001-05/2003Answered 80 to 100 inbound regarding mortgage loan information.Processed mortgage, refinance, and home equity loan applicationsResolved customer disputes and email responses.EDUCATIONBA-Business Management J.K. Weaver Business College Gadsden, AL 1993-1997Advanced Diploma Gadsden High School Gadsden, AL 1989-1993 |
