Platoon Leader Insurance Specialist

David A Neighbors Cell: 713-***-****

PO Box ****, The Woodlands, Texas 77387 Email:****@*****.***

Employment History

May 2021 – October 2022 Acclara

Insurance Specialist: responsible for billing insurance, Medicare and Medicaid. Additional duties include verifying coverage, submitting appeals, and auditing payments March 2020 – March 2021 Neville Foot and Ankle

Billing and Insurance Specialist: responsible for billing and collecting of insurance and Medicare. Additional duties include coding, auditing, issuing refunds and customer services. March 2016 - March 2020 Patient Financial Services Group Insurance Specialist: responsible for billing insurance, Medicare and Medicaid. Additional duties include verifying claims were paid according to the contract, submitting appeals, and ensuring claims are paid in a timely manner. Personally responsible for collecting payments on three balances that were over a million dollars each and a single payment for 2.3 million dollars. November 2015 – May 2016 Lowe’s (Conroe, TX)

Part-time Customer Service Associate: responsibilities include cashier, assisting customers finding products and loading and unloading trucks as needed. May 2015 – Oct 2015 Walmart (Lumberton, TX)

Customer Service Manager: Supervised 21 associates. Responsible for training cashiers and customer service issues. Also cash control for 98 locations, monitoring returns and auditing. May 2012 – Sep 2014 The Outsource Group/Parallon (various positions) Client Representative Insurance: responsible for the billing and auditing medical claims. Additional duties: appeals and submitting adjustments. Customer Service Representative: responsible for collecting payments on accounts. Additional duties include monitoring payment history, conducting phone interviews for financial assistance and referring accounts to collection agencies.

Aug 99 – Oct 2011 Health First TPA/TriSurant (various positions) Customer Service Representative: responsible for responding to inquiries from subscribers and providers; determining if claims are processed incorrectly and presenting claims to the adjusters. Claims Operation Coordinator/Adjuster: responsible for identifying, tracking and correcting processing and payment errors; collection of refunds and reissuing of lost/damaged checks. EDUCATION: Bachelor of Arts, University of Houston. Associate Degree, New Mexico Military Institute. Post Baccalaureate studies, Our Lady of the Lake University. Military History: Fourteen years as a commissioned officer. Assignments include platoon leader, logistics, operations, training and project officer overseeing several computer simulations. Licenses/Certifications: Adjuster, #1540569, expires 03/31/2023; Agent, all lines, #1530222, expires 03/31/2023; Certified Revenue Cycle Specialist, #96253, expires 11/30/2022.