Customer Service Insurance

Nancy Davis

**** ***** ******* **. **** Bend, NC 27018

Home: 336-***-****

Cell: 336-***-****

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

Professional Summary

Patient-focused Insurance Specialist Reliable multi-tasker skilled in investigating and resolving

Insurance denials on Inpatient and Outpatient accounts. Skilled in contacting Medicare,

Commercial and Private Insurance Carriers regarding medical insurance claim denials.

Knowledge of medical billing, familiar with ICD-9, ICD-10 codes and diagnoses codes. Strong

attention to detail. Dedicated team player, strong ability to communicate on the phone clearly and

effectively to Insurance Co. customer service, claims departments, patients, physician’s offices

and staff.

Skill Highlights

• Maintains strict confidentiality

• Knowledge HIPPA compliance

• Knowledge of Medicare, Medicare HMO, and commercial billing.

• Knowledge of insurance denials, correspondence and EOB’s

• Knowledge of Insurance Authorization requirements

• Familiar with HMO’s Medicare Managed care contracts

• Familiar with CPT, HCPCS and ICD-9 and 10 coding

• Strong working ethic

• Team player with positive attitude

• Deadline-driven

• Exercises good judgment

• Exercises good communication skills

• Exercises quality and detailed skills.

Professional Experience

Insurance Specialist Revenue Cycle Services

• November 1990 to June 2013

Novant Health- Winston-Salam, NC

Thoroughly investigated past due unpaid insurance balances on patient’s accounts. Communicate

with Insurance companies, patients, physician’s offices and other departments to resolve issues to

get unpaid/denied insurance claims paid. Confirmed patient information, and verified insurance.

Prepared and attached all required claims documentation including referrals, treatment plans or

other required correspondence to reduce incidence of denials. Demonstrated knowledge of

HIPAA Privacy and Security Regulations by appropriately handling patient information.

Accounts Receivable, Customer Service, and Inventory Specialist

• February 1981 to November 1990

Davis Department Stores INC.-Winston-Salem, NC

Customer Service Approvals with charge accounts, billing statements, and Payment posting.

Reading of Daily registers, Recorded daily sales on inventory, and Recorded monthly inventory

totals for Buyers.

Education and Training

1981 Graduate

Forbush High School- East Bend, NC, US

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