Claims Processor Vocational Rehabilitation
Resume:
Nathaniel Thomas Jr.
Nathaniel has over ten years of Medical Claims experience and spent 16 years with Shands Healthcare in this role. He is experienced with Call Center environments and performing Medical Claim processing, including negotiation of payment settlements. Nathaniel most recently worked for Haven Hospice Retail where he was responsible for processing Medical Device sales transactions including billing of health insurance when applicable. He is experienced communicating with patients regarding denied claims and billing issues and is comfortable performing data entry of interactions with patients and Insurance providers. Nathaniel has exceptional communication skills, both written and oral and excels in fast paced task-oriented environments. He is local to the Gainesville area and available to interview with 24 hours’ notice. Thank you for considering Nathaniel!
Education
High School Diploma
Experience
Haven Hospice
Medical Device Sales Associate
Chiefland, FL
02/2020 – 10/2020
Responsible for providing quality customer service by processing customer orders and donations in an efficient, accurate, safe, and courteous manner.
Assisted management with rotation of stock, seasonal displays and maintaining a clean, well-organized, and safe store environment.
Performed sales transactions of Medical Devices including insurance submission.
JKI Medical Solutions
Claims Processor
High Springs, FL
October 2018 – October 2019
October 2016 – March 2018
Responsible for performing follow up and collections on medical claims in a Call Center environment.
Performed Billing and Collections with Health Insurance plans.
Worked with people to negotiate medical claim payments and settlements.
Documented all interactions in computer system.
Shands Healthcare
Medical Claims Processor
Gainesville, FL
September 2000 – March 2016
Responsible for ensuring medical claims were billed correctly to Vocational Rehabilitation within Florida.
Processed billing claims with all County Jails within Florida, Brain and Spinal Cord Injury Program, Dept. of Corrections, Medicaid, and Health Care and Rehabilitation for all counties within Florida.
Performed follow up with each entity if no payment was received within the allotted time (30-45 days) per company policy and procedures.
Negotiated payments with payors and offered incentive discounts for prompt payment.
Documented all interactions in computer system.
Contact this candidate