Representative Claims Insurance Specialist
Resume:
I S A B E L B A R R A Z A
******.***********@*****.***
Lubbock, Texas 79403
PROFESSIONAL SUMMARY
Experienced Processor Insurance Specialist successful at managing high caseloadsinfast-paced environments. Organized, driven and adaptable with excellentplanningand problem-solving abilities. Offering 23 years of experience and willingness totakein any challenge.
SKILLS
Multitasking Prioritization Teamwork
Motivation Training Customer relations
Claims processing Information
verification Organization
Collaboration Patient education
Train employees
HIPAA compliance Patient service management
Clerical support
EXPERIENCE
Lab / Imaging Coordinator, Grace Clinic, Oct 2007 Jul 2021, Lubbock, TX Registered patients and updated health insurances for all patients. Released all labs and imaging that the doctor's ordered. Educate patients on procedure details, provide instructions and answer questions to minimize anxiety and improve cooperation.
Handle private and confidential information in compliance with hospital policies and procedures, including HIPAA.
Monitored patient care service delivery to implement quality improvements. Answered phone calls throughout the day to provide information, set appointments and take messages.
Delivered excellent customer service and facilitated development of patient and clinician relationships.
Facilitated flow of communication and information to all members of department. Took patient information and scanned into EMR, ensuring accurate records and patient authorizations.
Coordinated patient appointments and provided instructions for examinations and procedures.
Scheduled and confirmed patients for diagnostic appointments, consultations and procedures.
Senior Processing Specialist, Allstate Insurance Claims, Apr 1997 Nov 2020, Lubbock, TX IB
Helped adjusters navigate more complex claims, analyzing documentation and quickly settling the most straight-forward and routine claims. Entered details of medical bills, communications and other records to help the examiners with reviewing detailed histories.
Investigated the history of each claimant to identify prior losses, insurance coverage and other relevant information on file, ordering reports to further evaluate histories. Documented claims information into the Liability, Unrepresentative and Attorney Representative system to initiate the processing procedure. Managed Unrepresentative and Representative claims files, including locating information, reconstructing files and transmitting documents between offices to facilitate the process.
Obtained supporting documentation from the claimants and their representatives and transferred to vendor partners.
Volunteered for and tackled new assignments and tasks to ease staff member. IB, May 1978
Assisted team members and managers with tasks to maintain productivity and meet FL project milestones.
Completed all required paperwork within anticipated timeframes. Managed daily tasks consistently and sought out opportunities to go beyond requirements and support business targets.
Followed established guidelines and procedures.
EDUCATION
High School Diploma
Canyon High Canyon, Texas
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