Insurance Manager

Toni P. Ervin

**** ********** **, **** ** ***** * 330-***-**** * ********@***.***

SUMMARY: Eleven years experience in Administrative & Clerical Positions.

Proven track record

of meeting deadlines, being highly organized, and efficiently prioritizing

and handling multiple tasks. Excellent

verbal and written communication skills.

Additional strengths:

. Strong analytical and problem solving skills.

. Excellent written and verbal communication skills.

. Highly trustworthy, discreet and ethical.

. Resourceful in the completion of projects, effective at multi-

tasking

. Strong leadership and communication skills

EXPERIENCE

Claims Processor SummaCare Insurance: Akron OH

01/13 - Present

. Analyzes and resolves files requiring complex adjustments

. Processes all types of claims promptly and accurately to ensure self-

funded service standards

. Handles special projects within time frames established/assigned by

manager

. Applied ICD9/ICD10/CPT

Referrals/Authorizations Clerk Crystal Clinic: Akron, OH

06/09- 01/13

Promoted from Reception

. Post and scan charges for 13 doctors

. Verify patient insurance benefits for scheduled referrals

. Build electronic durable medical equipment case files

. Reconcile and submit monthly statements for durable medical equipment

dispensed

. Assist management with report preparation

. Provide reception back up

Data Entry Clerk Summacare Insurance: Akron, OH

08/08-10/08

Entered computerized insurance claims to ensure accurate billing

Secretary, Scheduling & Neurology Neurology & Neuroscience: Akron OH

05/07-04/08

. Scheduled Neurology and MRI testing

. Prepared appointment charts and orders

. Coordinated technician facility assignments and janitor schedules

. Verified insurance benefits and obtained testing authorizations

Front Desk, Medical Records Pioneer Physicians Network: Tallmadge, OH

01/05-05/07

. Answered phones, assisted patients at front desk, checked insurance

and collected co-pays

. Obtained patients' insurance authorizations for and scheduled

specialist appointments

. Provided secretarial/clerical services to doctors and nurses (faxed

refill requests; typed and edited letters; maintained charts; trained

new employees; distributed mail; copied documents; prepared,

notarized and mailed legal documents)

. Applied ICD-9 and CPT codes

. HIPAA certified

Accounts Receivable, Title Clerk Garrett Olds Cadillac: Kent, OH

03/02-12/04

Warranty Administrator

. Provided secretarial/clerical services to sales representatives

. Posted payments, prepared bank deposits and balanced monthly ledgers

. Scheduled appointments and booked meetings

. Maintained databases, contracts and documents

. Drafted/edited correspondence

. Sorted/distributed mail

EDUCATION

Secretarial Science Bohecker's Business College: Ravenna, OH

2000

Associate's Degree

. Windows 95

. Office 97

. 10 Key, Type 50-55 wpm

. Shorthand

. Communications

. Business letters and Reports

. Business Math and Applications

. Sociology and Psychology

. Machine Transcription

. Business Law

ACCOMPLISHMENTS

. Certifications/Licenses: Notary Public and CDL B License with S and P

endorsements

. Fundraiser for muscular dystrophy, multiple sclerosis, American Cancer

Society, American Heart Association

. Employee of the month certificate

. Eastern Stars

. Rainbow Girls

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