SUMMARY

A Professional with a Bachelor’s degree in Business Administration from Lewis University and Paralegal certification from Robert Morris College. Experienced in the Medical and Legal field with many administrative skills. I am motivated, detail oriented and organized team player with strong communication and interpersonal skills. Seeking an opportunity to contribute my experience and skills to the success of an organization.

PROFESSIONAL EXPERIENCE

BAS-Benefit Administrative Systems, Homewood, IL

Customer Service Representative October, 2016-present

● Take inbound calls from providers quoting Medical/Dental/Vision benefits

for members; claim statuses; ie; denials on claims, info needed to get claim reprocessed;

● Take inbound calls from providers relating to whether or not they are in-network

or out-of-network and how they can obtain the in-network position;

● Take inbound calls from provider relating to payment information and when payment would be released

for claims and the process for getting payments sent to providers;

● Take inbound calls from providers relating to whether or not a precertification is required

for a certain surgery or procedure and warm transferred provider to Cigna to obtain precertification

or advised provider of precertification vendor name and phone number

● Take inbound calls from providers relating to status of appeals on claims; advised whether the appeal

was approved or denied and if denied the reason for the denial;

● Take inbound calls from providers regarding claim payments not received and put on our check tracer list;

● Make outbound calls to providers to follow-up on previous calls relating to claims status; check tracer

follow-up

ACCENT-Cigna Healthcare, Tinley Park, IL

Overpayment Recovery Specialist November, 2015-October, 2016

Duties included, but not limited to:

● Made outbound calls to providers in billing departments of hospitals or physician's office regarding

medical claim overpayments by reviewing accounts and explaining reason codes for claim

overpayments; explain how the claim was processed and how to correct the claim to get

it reprocessed as to not have and overpayment;

● Provide overpayment letters to providers (by fax, email, or phone) to render overpayments on accounts;

● Negotiate with providers to get payments sent in to make monthly goal;

● Work with spreadsheets sent to providers of all accounts pertaining to their practice on overpayments

NICHOLAS J. JANIS, Palos Park, IL-Temporary position May, 2015-September, 2015

Paralegal-Litigation, Probate, Estate Planning, Real Estate, Collections, Corporate

● Prepare documents for Probate and Estate Planning; Prepared forms to transfer/sell stocks in Trusts;

● Prepare Deeds in Trust and Quit Claim Deeds and sent to be recorded

● Draft legal documents for litigation cases, Collections

● Open files for new cases and added to Amicus Database

● Indexed Pleadings and Orders

● Perform Title Searches, Prepare Title Commitments, Title and Closing documents for real estate files

LAW OFFICES OF MOMKUS MCCLUSKEY, LLC, Lisle, IL October 2014-March 2015

Commercial Litigation Paralegal

● Prepared legal documents for Plaintiff’s in Mortgage Foreclosure, Bankruptcy, Commercial Litigation and Collection cases

LAW OFFICES OF MATTHEW R. WILDERMUTH, Woodridge, IL May 2010-Feb 2014

Foreclosure Defense Paralegal

Monitored Foreclosure cases on a daily basis

Entered Court results into client database daily

Docketed all court dates into Abacus Legal; Opened new client files added client information and scanned court documents into Abacus Legal

Prepared Appearances, Answers to Complaints, Motions to Withdraw, Motions to Vacate Judgment, etc

Draft modification letters to Bank Lenders attorneys and faxed

Propounded and Answered Discovery

Draft Quit Claim Deeds and sent out for recording

Data Entry of filing dates of Appearances, Answers, and Responses to Motions for Summary Judgments

Scheduled Motions with Courts in various counties; Prepared Court files for Attorneys daily for next day hearings

Utilized PACER to check court case information

WILSON & WILSON LAW OFFICES, Lagrange, IL Jan 2006-May 2010

Probate Administration Paralegal

Drafted all probate court documents to open/close estates; Master Asset/Debt Lists for estates; and prepared accountings of all estates

Created Letters of Direction/Instruction to transfer assets and stock transfers; also Deeds for transfer into Trusts

Utilized timeslips for Attorney and Paralegal billing

LAW OFFICE OF HUTCHISON, ANDERS & HICKEY, Tinley Park, IL Nov 2004-Jan 2006

Bankruptcy, Family Law and Personal Injury Paralegal

Prepared Chapter 7 & 13 Bankruptcy petitions/ electronically filed Bankruptcy cases

Drafted Motions for Personal Injury cases; reviewed and abstracted Medical Records;

Created documents for Family Law cases

Used PACER to check status on Bankruptcy cases

Utilized Timeslips for Attorney and client billing

Provided heavy phone and client contact

LAW OFFICES OF PAUL V. GENTILE, Orland Park, IL May 1998-Aug 2003

Bankruptcy and Family Law Paralegal

Prepared Chapter 7 Bankruptcy Petitions, Reaffirmation Agreements; Draft Family Law Documents

EDUCATION

Bachelor's Degree in Business Administration, Lewis University, Romeoville, IL 1998

Robert Morris College, Orland Park, IL

Associates Degree in Business Administration focused in Legal Assisting 1996

Paralegal Program Certification 1994

TECHNICAL SKILLS

Microsoft Word, Excel, Outlook, PowerPoint, AS400 database; Cigna Citrix Systems; CSCL; Benefit Point; strong typing skill, proofreading, computer and telephone skills

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