Experience

HomeCare Connect

• Hospitals and Health Care
• 1 - 100 Employee

• Appeals Coordinator

  • Jul 2015 - Present



RecordTrak

• United States
• Legal Services
• 1 - 100 Employee

• Facilitator; Client Services

  • Sep 2013 - Jul 2015

  King of Prussia, PA Recordtrak specializes in complete litigation support for personal injury and product liability cases.  Answer and process over 100 calls/emails, per day, from clients and facilities  Interface with a variety of outside offices, including, healthcare facilities, attorneys and nurse case managers  Assist with records procurement, to include: medical, pharmacy, employment, military, insurance, government and financial  Ensure order accuracy and completeness, prior to issuing each… Show more Recordtrak specializes in complete litigation support for personal injury and product liability cases.  Answer and process over 100 calls/emails, per day, from clients and facilities  Interface with a variety of outside offices, including, healthcare facilities, attorneys and nurse case managers  Assist with records procurement, to include: medical, pharmacy, employment, military, insurance, government and financial  Ensure order accuracy and completeness, prior to issuing each records request  Knowledge of HIPAA-compliance and facility specific requirements

• Records Coordinator

  • Apr 2013 - Sep 2013

  King of Prussia, PA Recordtrak specializes in complete litigation support for personal injury and product liability cases.  Answer and process over 100 calls/emails, per day, from clients and facilities  Interface with a variety of outside offices, including, healthcare facilities, attorneys and nurse case managers  Assist with records procurement, to include: medical, pharmacy, employment, military, insurance, government and financial  Knowledge of HIPAA-compliance and facility specific… Show more Recordtrak specializes in complete litigation support for personal injury and product liability cases.  Answer and process over 100 calls/emails, per day, from clients and facilities  Interface with a variety of outside offices, including, healthcare facilities, attorneys and nurse case managers  Assist with records procurement, to include: medical, pharmacy, employment, military, insurance, government and financial  Knowledge of HIPAA-compliance and facility specific requirements



MedRisk

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Bill Review Specialist/Intake Coordinator

  • Sep 2011 - Sep 2012

  King of Prussia, PA MedRisk is the leader in physical rehabilitation and diagnostic imaging solutions for the workers’ compensation industry.  Initiate contact with adjusters and providers to verify new case information or obtain missing patient demographics, as necessary  Ensure data-entry of medical bills are completed with accuracy and within timeframe guidelines  Verify the correct use of medical billing codes  Review case information to determine if new case is needed or existing case is… Show more MedRisk is the leader in physical rehabilitation and diagnostic imaging solutions for the workers’ compensation industry.  Initiate contact with adjusters and providers to verify new case information or obtain missing patient demographics, as necessary  Ensure data-entry of medical bills are completed with accuracy and within timeframe guidelines  Verify the correct use of medical billing codes  Review case information to determine if new case is needed or existing case is sufficient; may consult Case Management for further clarification  Verify new case data by reviewing, correcting or deleting; merge files to eliminate duplication  Obtain authorization and/or verification for Physical Medicine treatment Show less



AAA Club Alliance

• United States
• Consumer Services
• 700 & Above Employee

• CallTaker.com Counselor

  • Mar 2010 - Aug 2011

  Wilmington, DE AAA offers extensive services to its members, including, but not limited to, roadside assistance, insurance, banking and loans.  Properly answer and accurately process incoming Roadside Assistance calls; listen and probe for more information, as needed  Take action, as necessary, to empathize with Member, while performing call processing duties  Provide accurate information regarding club policy and instructions to ensure understanding of services rendered  Discuss complaints… Show more AAA offers extensive services to its members, including, but not limited to, roadside assistance, insurance, banking and loans.  Properly answer and accurately process incoming Roadside Assistance calls; listen and probe for more information, as needed  Take action, as necessary, to empathize with Member, while performing call processing duties  Provide accurate information regarding club policy and instructions to ensure understanding of services rendered  Discuss complaints with members; record complaint for review by Member Relations  Use departmental references and resources to better service the Member Show less



Silk Title Co.

• United States
• Real Estate
• 1 - 100 Employee

• Loan Disbursement Processor

  • Oct 2005 - May 2006

  Plymouth Meeting, PA Silk is a national agency that provides title insurance, search and settlement services to the residential and commercial markets.  Disburse loan funds for refinance or purchase of commercial and residential properties; ensuring deadlines met  Proactively contact lenders for scheduled funds; initiate wire transfers  Provide disbursement status to appropriate parties



Crump Life Insurance Services

• United States
• Insurance
• 500 - 600 Employee

• Senior Client Service Associate

  • Apr 1999 - Sep 2002

  Harrisburg, PA Crump supports the distribution of traditional and variable life, long-term care, disability and annuity products with the industry’s premier sales and back-office support services.  Analyze new insurance applications for accuracy and completeness; troubleshoot all licensing, incomplete applications and cases requiring special processing to prepare applications for risk assessment and underwriting  Order all underwriting requirements, including, but not limited to, medicals, APS’s and… Show more Crump supports the distribution of traditional and variable life, long-term care, disability and annuity products with the industry’s premier sales and back-office support services.  Analyze new insurance applications for accuracy and completeness; troubleshoot all licensing, incomplete applications and cases requiring special processing to prepare applications for risk assessment and underwriting  Order all underwriting requirements, including, but not limited to, medicals, APS’s and necessary financials  Conduct regular follow-up for outstanding underwriting documents  Manage case load of 200-300 cases; organize and prioritize workload, ensuring case processed in a timely manner  Maintain database to document case activity, as well as, external and internal communication  Act as a liaison to resolve all issues with multiple carriers, while maintaining integrity of each case  Review issued policy for accuracy; follow-up with agent to complete policy delivery requirements  Initiate review of other than applied for offers, with a second review by a seasoned underwriter Show less