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Insurance Service

Location:
Spring, TX
Salary:
negotiable
Posted:
January 29, 2015

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Resume:

To obtain a position that will enable me to use my strong organizational

skills, educational background, and ability to work well with people.

Work History:

The Brazos School for Inquiry and Creativity, January 2014- Present

Teacher (Long Term Substitute)

> Developed and implemented daily and unit lesson plans for 7th-11th

grade,

> Administered testing, tracked and analyzed class performance.

> Conducted group and one-on-one math, reading and writing activities.

> Developed excellent rapport with students

> Fostered a classroom environment conducive to learning and promoting

excellent student engagement.

> Conducted parent conferences.

Cole Health, February 2013 - November 2013

Insurance Coordinator

> Received payments and post amounts paid to customer accounts.

> Located and monitor overdue accounts, using computers and a variety of

automated systems.

> Prepared and submits clean claims to various insurance companies

either

> electronically or by paper.

> Answered questions from patients, clerical staff and insurance

companies.

> Identified and resolves patient billing complaints.

> Evaluated patient's financial status and establishes budget payment

plans.

> Get Authorizations and Follow up on authorizations from patient

insurances.

> Reviewed accounts for possible assignment and makes recommendations

Verified patient insurance and load patient information in IDX, EPIC,

ALLSCRIPTS, MEDISOFT, CHARTLINKS

Brightstar Care, November 2011 - February 2013

Human Resource Coordinator

> Maintains a detailed record of the turnover, and researches and

formulates strategies which effectively aid in employee retention.

> Consults with managers and supervisors about company policies and

procedures.

> Propose and develop a set of rules that would monitor the discipline

and work of workers.

> Consults with practice managers regarding employee turnover,

absenteeism, changes in work settings, employee motivation and

recognition, and other employee-related aspects.

> Assess, sieving, and interviewing candidates for available positions;

and making referrals of well-qualified and skillful applicants to the

respective department managers

St. Giles Living Center, August 2010 - November 2011

HCS Service Advocate

> Prioritized cases once they have been assigned to supervisor.

> Contacted clients to assess their most urgent needs.

> Kept thorough records of each of cases, including every call, home

visit and referral.

> Developed a detailed plan of action to meet the needs of clients.

> Worked with other agencies to keep abreast of services and resources.

> Maintained the confidentiality of clients.

Educare/ Rescare Community Living, July 2007 - July 2010

Qualified Mental Retardation Professional / Human Resources Recruiter

> Oversaw the delivery of consumer support services for assigned

locations.

> Supervised personnel to achieve service, clinical and financial

objectives.

> Ensured compliance with regulatory requirements through quality

assurance activities.

> Coordinated team of person served and development/maintenance of

his/her service plan.

> Coordinated clinical service delivery, supervised efforts to foster a

positive work environment and appropriate deployment of employees.

South Texas Dental Corporate Office, September 2003- July 2007

Recovery Professional / Billing Specialist

> Received payments and post amounts paid to customer accounts.

> Located and monitor overdue accounts, using computers and a variety of

automated systems.

> Prepared and submits clean claims to various insurance companies

either

electronically or by paper.

> Answered questions from patients, clerical staff and insurance

companies.

> Identified and resolves patient billing complaints.

> Evaluated patient's financial status and establishes budget payment

plans. Follows

and reports status of delinquent accounts.

> Reviewed accounts for possible assignment and makes recommendations to

the

> Verified patient insurance and load patient information in IDX, EPIC,

ALLSCRIPTS.

Education:

Jarvis Christian College, August 1997- May 2001

> Bachelor of Science Major: Biology Minor: Psychology

> Member of Student Government Association

> Member of Alpha Kappa Alpha Sorority Incorporated



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