Bio
Experience
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United States
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Wellness and Fitness Services
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700 & Above Employee
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Work Comp Specialist
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Jul 2012 - Present
Reviews and determines accuracy of demographics, insurance, billing and litigation data on claimsMaintains knowledge of insurance contracts and settlement contracts to ensure correct reimbursementCommunicates, corresponds and negotiates with insurance carriers and attorneys to reconcile claimsProcess appeals to insurance carriers and document and update accountsDetermines and takes appropriate action on delinquent accountsKnowledge of insurance benefits, medical billing, terminology, processes and litigated work comp claimsConsistently surpasses quotas set for the team and the departmentProvides administrative support to clinic staff and directors
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Senior Customer Support Specialist
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Apr 2011 - Present
Handled high volume of inquiresEffective understand and explains insurance benefitsReviews and interprets explanation of benefitsPerform financial audits on patient accounts
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Account Manager
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Sep 2000 - Jun 2008
Initiated contact with new accounts to fulfill contractual commitmentTrained new accounts employees on all services, products and systemsOn-site presentations and meetings to build customer relationshipsHandled all merger and acquisition projectsBuilt and maintained account relationships based on...
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Supervisor
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Aug 1996 - Sep 2000
Leader for Account Assistants for key accounts in support of salesAssisted and gave guidance to any escalated issues to ensure customer satisfactionManaged the collection issues for the departmentDeveloped and generated departmental reportsActed as main communication link for external vendorsDemo...
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Education
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Joliet Junior College
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Industry Focus. “Healthcare”
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References
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