Microsoft Office Insurance

Lori L Raper

**** ****** **** **** 630-***-****

Schaumburg IL 60193 Home 630-***-****

**********@*****.***

EXPERIENCE

Equian - Naperville 06/2017 – 05/2018

Coordination of Benefits Analyst

- Analyze members with Medicare to determine order of benefits.

- Audit claims to identify client payment error.

- Identify new trending within COB product.

- Experience coordinating with other commercial payors.

- Outreach to determine employee job status

Equian - Warrenville 09/2014 – 05/2017

Audit and Recovery Specialist

- Analyzed claim payment history to identify and determine where an over payment recovery exists.

- Ensured timely and accurate completion of recovery projects and related reporting

- Established communication and rapport with clients, members, providers and insurance companies.

- Researched, resolved and responded to correspondence (both verbal and written) from members, providers, insurance companies and clients.

- Timely follow up on all files

- Documentation of all related recovery efforts in various claims and database systems that documented recovery efforts as required by each specific client.

- Assisted management in the identification and correction of inaccurate processes or quality issues.

- Followed all applicable laws related to recovery efforts.

Anne Szpindor MD – Hoffman Estates 05/1996-12/2013

Medical Biller/Receptionist

- Follow-up with insurance companies on all aspects of payments

- Responsible for balancing payment accounts

- Obtaining referrals and pre-authorizations as required for procefures

- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures

- Answering all patient and insurance telephone inquiries pertaining to assigned accounts

- Answering phone

- Greeting patients and visitors and directing throughout the facility

Education:

Hoffman Estates High School

Technical Skills:

- Microsoft Office

- 10-Key Calculator

Contact this candidate