Grace Sanders-Watkins

**** ******* *****

Charlotte NC, 28205

704-***-****

aczd6a@r.postjobfree.com

Objective: Obtain a challenging career in the business sector utilizing my skills in health insurance and customer service.

Education

Johnson and Wales University

UNC Charlotte

CPCC

Continuing education classes including Medical Terminology, Microsoft Word and Excel.

Customer Service

Handled customer inquiries for over 15 years in professional office environment as well as face to face customer service for last 7 years.

Trained employees in customer service techniques as well.

Medical Insurance

Trained and tested employees in various facets of health insurance components including but not limited to insurance verification, hospital pre-registration and medical billing. Performed audits on employee’s work and reported trends to management. Also recommended additional training if needed.

Verified patient’s insurance benefits both online and through phone communications with insurance companies. Also worked in hospital registration. Obtained authorizations and pre-certifications in both hospital and medical office setting. Reviewed and updated patient account information.

Medical Billing/Account Representative

Submitted billings and appeals for physicians in medical office setting.

Recovered thousands of dollars revenue for practice by correcting insurance information and/or incorrect billing procedures through direct contact with insurance companies.

Helped set up payment plans for patients with outstanding bills. Also submitted needed medical information for authorizations to various insurance providers.

Currently employed in two positions that involve money handling practices, accounting and record keeping.

Healthcare Claims Adjudication

Processed incoming insurance claims.

Developed guidelines for investigation and processing of disability claims.

Performed medical review of claims and referred to medical director if necessary.

Released high dollar claims for peers without authorization.

Employment History

Currently employed at Present Perkins Management Services

Former Employers Include:

Lash Group

Something Classic

Diamond Restaurant

Frankie’s Italian Grille

Big Ben’s English Restaurant

Novant Health/Presbyterian Hospital

Southeast Women’s Center

John Alden Insurance Company

Employment Benefits Services

Cigna Healthcare

References Will Be Submitted Upon Request

March 20, 2017

To Whom It May Concern:

I am submitting this letter of interest in regards to the available position for Claims Analyst that you are currently seeking to fill. I bring high levels of dedication and experience and if hired will prove to be a valuable asset to your company. I bring many years of work experience in which I have gained invaluable knowledge in the areas of team dynamics and customer service. I also bring professionalism and a dedication to the completion of all projects. I bring supervisory/management experience as well.

I was formally employed as a quality analyst/educator, a position that required training and reviewing work by employees in the areas of insurance verification, registration and new computer systems for one of the largest healthcare providers in the Charlotte area.

I have also been employed as a patient account representative/front desk receptionist in a medical physician’s office. While employed there, I was able to recover thousands of dollars in revenue that was previously unpaid. As the acting front desk receptionist, I acquired experience greeting patients and vendors, scheduling appointments and answering questions directed at office procedures and vendor acquisitions. I have also worked at various health insurance companies processing medical claims and acquiring and reviewing authorizations for procedures. I have also worked as a health insurance correspondence specialist that handled medical review submissions, short term disability claims and other high level claim specialist’s responsibilities. I have experience as a trainer and a quality analyst in a hospital setting. I currently work in a position that requires excellent customer service and money handling skills at one of the Charlotte area’s most prestigious universities.

I am submitting my resume to your company because I know that I would be a valuable asset if hired. I am a people person who is very comfortable working in a team oriented atmosphere. I have a very strong work ethic as well as excellent customer service skills. If after review of my resume you find that my skills and qualifications fit your needs, please feel free to contact me.

Thank you in advance for your careful consideration.

Grace Sanders-Watkins

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