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Medical Claims Specialist

Jacksonville, Florida, United States
February 19, 2018

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H: 407-***-****

To build a long-term career with a company that provides many opportunities for personal and professional growth.

Customer service skills.

Adept ability to organize, plan,

prioritize, and problem-solve.

Talent for establishing and

maintaining good rapport with people

of diverse backgrounds.

Experienced in Microsoft Office.

Team Player who collectively and

efficiently works with others to

ensure that all succeed in their role.

Service Oriented Leader that is

socially perceptive to customers

needs and satisfaction levels.

Able to provide solutions upon initial

interaction with customer.

Skillful in reading situations and

intuitively deciding the best result,

but knowing when to ask the right

questions when need be.

06/2016 to 02/2018 Medical Claims Specialist

Nationwide Mutual Insurance - Gainesville, FL

Assisting customers with their medical claims when injured in a motor vehicle accident.

Working closely with Providers and Attorneys in order to service Medical Claims for the insured.

Processing payment to proper payee

Honoring Provider liens, Assignment of Benefits and Medicare when necessary. Reviewing CPT and ICD codes received from billing provider Requesting proper documents such as HICFA forms, UB04 forms and updated W-9 forms if necessitated.

03/2016 to 05/2016 Medical Assistant

Dermatology Associates - Gainesville, FL

Assisting patients to the rooms prior to the Doctor arriving. EDUCATION

Checking patient's medical records to ensure they are correct and up to date. Assisting the Doctor while they perform exams, in addition to scribing the notes during the exam.

08/2014 to 01/2016 Front of the House General Manager/Bartender/Server Vellos Brickstreet Grill - Gainesville, Fl

Entering sales and employee data into the system daily at the end of shift to allow the General Manager to track the statistics of the restaurant. Addressing issues that would occur within the restaurant, not only with the guests but also the concerns and/or problems that arose from the staff that I oversaw. Helping to enterprise new ideas and programs to improve the business, as well as creating solutions for problems as they arise.

10/2012 to 08/2014 Bartender/Cocktail/Server

Ruth's Chris Steak House - Lake Mary, Fl

Provide prompt, efficient, friendly, and quality service at all times. Accurately balanced cash register at all times.

Handle high volume happy hour.

07/2010 to 09/2012 Bartender/Server/Beverage Cart

The Legacy Club - Heathrow, Fl

Promoted upcoming events that were taking place at the country club. Helped set up for large banquet events and tournaments. 03/2003 to 06/2010 Hostess/Takeout/Server/Bartender Stonewood Grill and Tavern - Lake Mary, Fl

Effectively handled customer complaints and special requests. Was responsible for helping with inventory, as well as putting away liquor when it came in.

2014 Associate of Arts: Marketing

Seminole State - Sanford, Fl, US

Organizational Management

Santa Fe College - Gainesville, FL

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