Claims Processor/Insurance Clerk

Maggie Baxter ***********@*******.*** 210-***-****

PROFESSIONAL PROFILE

A dependable goal-oriented claims processing professional, who is seeking to increase profits,

increase awareness of the company brand and provide top-class service for San Antonio

customers and businesses

QUALIFICATION HIGHLIGHTS

8+ years of experience in claims processing

Recipient of the Allstate Bronze Medal Award –Tallahassee, Florida

ICD-9-CM Coding Workshop

Familiarity of Medical Terminology

RELEVANT EXPERIENCE

Allstate Insurance Company Senior Claims Processing Specialist 03/89- 05/05

Total Loss Processor - Finalized the Total Loss process by calling the insured to set

expectations. Arrange to obtain Georgia Power of Attorney and/or Title from the insured

or Lien holder. Issued check to Lien holder or Insured according.

Casualty Processor-Prepared demand packages for attorneys.

Investigated client medical history if needed.

Auto Express Desk- Worked Single Car no injury claims. Comprehensive loss. Set up

Rental Car if needed. Issued checks according.

Subrogation Clerk- Collected payment from third party insurance companies.

Other positions- Pro Field Processor, File Clerk and Switchboard.

Tallahassee Community Hospital Patient Accounts Examiner 07/87-03/88

Communicated with insureds and collected payments from insured and patients.

Logged charts and corrections, posted to payments to appropriate patient and/or

general ledger accounts.

Reconciled remittances to logs.

Preformed administrative support task,such as compiling daily, weekly and monthly reports

Thoracic and Cardiovascular Clinic Receptionist /Insurance Clerk 06/86-03/87

Processed all insurance claims. Coded diagnoses and procedures using ICD-9 and CPT-4 codes.

Answered incoming calls and responded to questions concerning account status. Scheduled

appointments admitted patients and posted surgeries. Managed collections on patient accounts

Southeast Alabama Medical Center Patient Services Representative 05/83-08/85

Processed all Medicare, Medicaid Vocational Rehabilitation, and Complimentary Insurance for In and

Out Patients; Reviewed account folders and completed claim forms; passed claim forms to Professional

Standards Review Organization for certification; review patient accounts collected on outstanding

balances and prepared daily account statements; responded to inquiries from patients pertaining to

account status; maintained and filed correspondence, receipts, adjustments, and other relevant

information.

OTHER EXPERIENCE

Maximus, Inc. Application Support 02/12-08/14

Process applications and determines appropriate level of eligibility status.

Paycom DFW Payroll Specialist 06/05-

09/09

Process payroll’s accurately; in a timely manner. Effectively research, track and resolve payroll issues.

Answer client’s questions while maintaining a positive attitude.

EDUCATION/TRAINING

Alabama Hospital Association ICD-9-CM Coding Workshop 04/1985

Southeast Alabama Medical Center Medical Terminology 1984-1985

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