EMPLOYMENT HISTORY

OCT ****

Medical Billing Specialist, Pioneer Medical, Chicago, IL

Develop and maintain relationships with insurance companies to resolve billing issues and expedite payment processing. Implement and maintain effective billing processes and systems to ensure accurate and timely submission of medical claims

Perform regular audits of medical records to ensure accuracy of billing and documentation. Review and analyze medical billing codes to ensure accurate and complete billing for insurance reimbursement Identify opportunities to improve billing and coding processes to maximize reimbursement from insurance companies. Provide training and support to other staff members on medical billing processes and procedures, ensuring consistent and accurate billing practices across the organization. Stay updated on changes in medical billing regulations and guidelines to ensure compliance with industry standards and avoid potential penalties.

NOV 1991 - NOV 2020

Insurance Claims Professional, Combined Insurance, Chicago, IL Evaluated and processed insurance claims

Achieved 120% production and 90% quality

Utilize strong communication skills to effectively negotiate settlement terms with policyholders and third-party claimants. Assisting clients in filing insurance claims accurately and efficiently Analyze insurance claims data to identify trends and patterns for process improvement and risk mitigation strategies. Investigate and evaluate insurance claims to determine coverage and liability Collaborate with underwriters to ensure accurate and timely assessment of insurance claims Review and interpret insurance policies to determine coverage and applicability to claims Provide excellent customer service to policyholders and third-party claimants by promptly responding to inquiries and addressing concerns

EDUCATION

JUN 1987 - JUN 1988

Wilbur Wright College

AUG 1983 - MAY 1987

Notre Dame High School

SKILLS

Medical terminology COPS system – mainframe processing system ICD 9 and 10 Coding PICS – policy holders policy information CPT coding Microsoft Outlook, Word and Excel

CRM Clarify – web sphere application displaying claim information, coverage and policy.

Chicago, IL, 60629

ad4153@r.postjobfree.com

773-***-****

OLIVIA SANCHEZ

MEDICAL BILLING SPECIALIST

PROFESSIONAL SUMMARY

Experienced Medical Billing Specialist with over 20 years of knowledge in the supplemental & medical insurance claim industry. Highly skilled in claims adjusting, communication, and customer service. Proven track record of improving accounts payable processes and achieving a 30% reduction in billing errors. Excels in fast-paced environments and thrives on new opportunities. A problem-solver with strong attention to detail and excellent communication skills.