Customer Service Insurance
Resume:
Apt ***
Boise, ID *****
Sara McCluskey, COA
Utilize certification and experience to further career in healthcare field.
Objective
**** – Current Pets Best Insurance
Experience
Boise, ID
Claims Response Coordinator
• Adjudicate medical claims to include auditing medical records
• Perform appeal reviews of claims to determine benefit eligiblity.
• Train new claims employees to become proficient in the use of
specialized claims processing system.
• Train new customer care employees to become proficient in
customer service system.
• Participate in ongoing company improvement strategies by
implementing efficiency methods.
2006-2007 Sinus Center Idaho
Boise, ID
Billing Manager
• Post daily patient/insurance payments and adjustments to
accounts.
• Post charges and submit electronic claims.
• Maintain A/R and investigate unpaid claims for resolution to
include appeals.
• Prepare daily bank deposits..
• Balance and complete monthly A/R reports.
• Assist patients with account questions.
• Review and prepare accounts for collections.
• Contact software vendor and resolve software issues.
• Audit chart encounters for accuracy in documentation and
correct coding, including use of modifiers, for both clinical and
surgical visits.
2002-2004 Hollingshead Eye Center Boise, ID
Ophthalmic Technician
• Perform general technician responsibilities in refractive/general
practice to include refraction, tonometry, scribing, and surgical
tasks.
• Coding surgical and outpatient office visits.
• Insurance and patient billing including collections.
• Schedule patients utilizing ophthalmic triage skills.
• Verify vision/ medical benefits and collect co-pays and co-
insurance upon patient checkout.
• Train new front desk employees.
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