Insurance Manager
Resume:
Summer Noel
Fairburn, GA ***13
Email: ******.****.****@*****.***
Dear Sir or Madam:
Please accept this letter and enclosed resume as a formal application for
the available position. I am extremely interested in a position where my
experience and ability will contribute immensely to your organization.
I am seeking a challenging position what will enable me to advance and
utilize my professional skills. I am confident that I would be a
distinctive asset to your organization.
Should you have any questions or comments concerning my resume, please
contact me.
Thank you for your consideration.
Sincerely,
Summer Noel
Summer Noel
7364 Appaloosa Cove
Fairburn, GA 30213
Email: ******.****.****@*****.***
OBJECTIVE
I am seeking a job for long term opportunity in a business
institution where my professional experience, qualifications,
organizational, and communication skills would be helpful to the
growth of my employer and myself.
EXPERIENCE
2009 - 2012 ConvergentUSA/OLOL Lafayette, LA
Field Representative/Billing Specialist
. Answer incoming calls, faxes and emails from Convergent's Client
Services Department regarding specific account questions
. Work outstanding claims for two hospitals, Our Lady of Lourdes &
Our Lady of the Lake Hospitals
. Review and forward all correspondence related to accounts assigned
to Convergent
. Verify payments via payment log, phone, calls, fax, or email
. Work closed accounts report according to the hospital's guidelines
. Complete other tasks requested by Convergent.
2008 - 2009 Advanced Billing Solutions Lafayette, LA
Billing Specialist
. Answer correspondence and/or telephone inquiries from patients &
insurance companies
. Re-file insurance on accounts
. Resubmit and appeal claims as required
. Mails completed forms to patients or insurance companies on a
timely basis
. Insurance billing; private insurance; electronic billing of
Medicare & Medicaid
. Accepts insurance claim information from patients & arranges for
completion of insurance forms
. Post charges for Physical, Occupational, & Speech Therapists
. Follow up with insurance companies promptly with any discrepancies
or variances
. Post insurance payments
2007 - 2008 Anesthesiology & Pain Consultants
Lafayette, LA
Insurance Follow-Up Specialist
. Accepts insurance claim information from patients & arranges for
completion of insurance forms
. Mails completed forms to patients or insurance companies on a
timely basis
. Run daily update & insurance exception reports & file
. Insurance billing; private insurance; electronic billing of
Medicare & Medicaid for Anesthesia
. Re-file insurance on accounts
. Resubmit and appeal claims as required for anesthesia performed on
patients
. Answered correspondence and/or telephone inquiries from patients &
insurance companies
. Counsels patients on claims processing
. Act as public relations agent for the medical office when dealing
with patients, employers & insurance companies
. Post charges for hospital, nursing homes & home visits
. Post payments for Medicare & Medicaid, auditing for appeals
. Mail patient statements twice monthly utilizing a cycle billing
process
. Followed up with insurance companies promptly with any
discrepancies or variances
. Trained all employees on Misys Tiger Billing Software
. Provider credentialing
2006 -2007 Lafayette Medical Filing Lafayette, LA
Billing/Credentialing Specialist
. Answer correspondence and/or telephone inquiries from patients &
insurance companies
. Re-file insurance on accounts
. Provider credentialing for over 10 Mental Health Therapists
. Followed up with insurance companies promptly with any
discrepancies or variances
. Mail patient statements twice monthly utilizing a cycle billing
process
. Post charges for office and hospital visits for Mental Health
Therapists
. Answered correspondence and/or telephone inquiries from patients &
insurance companies
. Run daily update & insurance exception reports & file
. Insurance billing; private insurance; electronic billing of
Medicare & Medicaid
SKILLS
. Excellent organizational skills
. Excellent oral and written communication skills
. Extensive of Microsoft Office (Excel, Word, & Powerpoint)
. Excellent interpersonal skills
. 4 year experience in a call center
. 50 + WPM
. Payroll
. Multi-line phones
. Money handling
. Provider Credentialing Specialist
. AR/AP
. Knowledge of several software systems (NextGen, McKesson,
PeopleSoft, Rumba, etc)
EDUCATION
Present (Online) Devry University Nashville, TN
. Major: Bachelor of Science in Accounting
. Graduation: 2013
San Joaquin Valley College Visalia, CA
. Major: Medical Office Administration
. Degree: Certificate of Completion
San Joaquin Valley College
REFERENCES
Melissa Burrell Manager
Demetria Martin Coding & Reimbursement Specialist
Cliff Roy Jr. Sales
Consultant 337-***-****
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