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Insurance Specialist Medical Administrative

Location:
Bessemer, AL
Posted:
December 04, 2021

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Resume:

KENYA LEONARD

Birmingham, AL ***** 205-***-**** adpjz7@r.postjobfree.com

PROFESSIONAL PROFILE

Perceptive, hard-working, and detail-oriented professional able to build and maintain optimal relationships with supervisors and peers in order to achieve goals and maximize productivity. Follows policies, procedures, and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality.

Customer service oriented and committed to ensuring optimal client outcomes.

Work history includes combined medical administrative support and healthcare industry experience.

Effective in managing time, coordinating details, and balancing competing demands.

Strong written, verbal, and interpersonal skills for effective communication and documentation.

Greenway EHR / Microsoft Word and PowerPoint.

KEY QUALIFICATIONS

Accounting Payroll Banking Systems Healthcare Law HIPAA Compliance Charting Filing

Processing Co-Payments Human Resource Management Organizational Improvements

Appointment Scheduling Insurance Billing Procedures CMS1450 UB04 CMS1500 Healthcare Claim Cycle

Insurance Verification Interpersonal Professional Communications

Business Office Operations Medical Office Procedures

Medical Practice Management Systems Practice Structure Leadership & Management

Medical Terminology Anatomy & Physiology

PROFESSIONAL WORK EXPERIENCE

The Sleep Disorders Center of Alabama, Birmingham, AL 07/2019 – 08/2020

Insurance Specialist

Process claims and claim denials to ensure maximum reimbursement for services provided.

Prepare and submit supporting documentation for carrier review or appeal.

Accurately process insurance credit card and other EFT payments received.

Take inbound calls from payers and patients about billing issues.

Prepare insurance and patient refund documents and process refunds once payment is issued.

Provide coverage for front desk staff and other duties as assigned.

Academy Sports + Outdoor, Trussville, AL 11/2018 – 04/2019

Sales Associate / Customer Service Representative

Operate the cash register for all transaction types including sales, returns, credit applications, and hunting and fishing licenses.

Receive payment by cash, check, and credit and debit cards, maintaining all cash and receipts.

Comply with customer confidentiality policies and practices.

Accurately balance cash register transactions, complete SKU lookups, and support incoming and outgoing merchandise transfers.

Assist clients with finding merchandise and organize the sales floor.

Practice loss prevention procedures and perform other retail-related duties as required.

EDUCATION

Ultimate Medical Academy

Associate of Science Degree – Healthcare Management, 2019



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