Sales Representative Insurance

** *** * ******** *.Y•347-***-****•**********@*****.***

Shakina Powell

Objective:

To Obtain a challenging position in a professional environment proving an opportunity for

growth and career advancement.

Experience

10/2007-02/2013

Shiel Medical Lab Brooklyn N.Y

Claims examining specialist

Entered 200 claims daily to insure payment from various insurance companies and

third party payers.

Heavy call volume from patients and doctors to discuss patient lab bills.

Investigated claims to insure payment and timely filing, by verifying insurance

eligibility, patient demographics and diagnosis codes.

Appealed claims by mailing and faxing all updated information to its proper

insurance carrier.

Worked directly with sales representative. To insure timely filing and payment of

claims by updating patient’s demographics, diagnosis codes from doctors office and

insurance information.

07/2005-11/06

Health First New York N.Y

Data entry specialist

Entered 160 claims daily

Correspondence open and distribute mail that was not medical claims such as

members request, complaints and checks that may have come through the mail.

12/04-07/05

Metropolitan Jewish Health Care Brooklyn N.Y

Service Coordinator/Scheduler

Communicated with RNs via telephone and fax letting them know what cases were

available.

Scheduled health care visits for RNs to meet patients at their home.

Faxed referrals to RNs

Copied and filed referrals

10/99-10/03

Stationary Engineers Local 670 New York N.Y

Data Entry Specialist

Entered and verified 150+ claim form daily to ensure timely dispersal of union

funds.

Performed clerical tasks such as faxes, copies and inter office correspondence to

maintain the integrity of claim forms and information on them.

Communicated with union member, third party payers and insurance companies

about the status of the policy.

Verified eligibility for all active union members.

Attached explanation of benefits to its prospective claim.

ICD9, Diagnosis codes and hippa knowledgeable

E ducation

Caliber Training Institute New York N.Y

Certificate of completion

Medical billing 12/03

High School Equivalency

References

References are available on request.

Contact this candidate