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Data Entry Claims Processor

Location:
Brandon, FL, 33511
Posted:
May 31, 2023

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Resume:

K A R E N C O M I N S K I

*************@*****.*** 813-***-****

Dependable and professional Medical Claims Processor with 2 years hands-on experience and 19 years of juggling multiple tasks as a Lien Processor, Sales Support Specialist, and Lease processing. Knowledgeable in current Medical Claims, Sales and Customer Service industry where exceptional computer, order entry and customer service skills are valued and rewarded.

Medical claims negotiating

Appointment Setting

Account Management

Billing

Reconciliation

Computer Skills

Contract Negotiation

Customer Service

Quoting

Data Entry Filing

Lease Processing

Sales Support

Mendes, Rains & Wilander Law Group Aug 2021 – May 2023 Medical Claims Processor

• Researched medical records to determine date of Incident to present to Lawyer for DOI approval.

• Prepared claim letters, forms, and related documentation notifying lien holders.

• Reviewed and verified ICD codes were related/unrelated claims.

• Initialed/dispute with Insurance providers

• Communicated with insurance agents and beneficiaries.

• Reacted to internal and external requests for information about disputes promptly.

• Recorded and maintained medical claims information in a database system or Excel spreadsheet.

• Performed other clerical tasks, as required.

K&D Asphalt Oct 2018 - Nov 2019

Owner/ Partner

• Created and managed Web Site for K&D Asphalt.

• Advertised and negotiated potential leads.

• Prepared proposal agreements with small businesses on a weekly basis.

• Prepared Invoices for billing and collections of payment for completed work. SPS, A Converged One Company Feb 2017 – Jan 2018

Sales Support Specialist

• Supported Account Executives by preparing quote configurations and/or pricing maintenance contracts for a variety of maintenance offers.

• Maintained service contract data in Avaya quoting tool and followed through on all maintenance requests, both internal and external.

• Worked with Avaya Support Center and SPS Maintenance Acceptance Team to process, implement and complete service agreements.

• Prepared quotes/contract packages ready for sign off and or booking. Qualifications Summary

Professional Experience

Bell Tax & Accounting May 2014 - Jul 2016

Appointment Specialist

• Effectively managed a high volume of inbound/outbound calls, data entry, and appointment setting with exceptional communication and professionalism to support a team of Service Delivery professionals in their daily responsibilities.

• Provided outstanding administrative support, while representing the Firm in a professional manner while maintaining a positive attitude and functioning as a team player. Avaya Telecommunications Aug 1995 - Aug 2011

Client Account Specialist

• Presented RFP of Maintenance Contracts on large, multi-site Telecommunications

• Systems as part of a Retention & Annuity Sales Team.

• Attended client conference calls to assist Sales Team in reviewing proposal, documentation of changes, explanation of coverage and cost.

• Provided customer service resolutions, billing assistance, technical inquiries, and contract cancellations.

• Resolved connectivity issues INADS (modem).

Client Account Representative

• Identified customer retention opportunities and managed flow of retention and Cancellations.

• Managed and monitored Client Retention database.

• Processed customer retention opportunities and/or cancellations.

• Processed signed contracts and resolution of reject issues.

• Conducted side by side training of new hires. Effectively managed high volume of inbound/outbound calls, data entry, and appointment setting.

• Prepared contract packages for booking.

Billing Clerk

• Reviewed legal documents, processed, and prepared legal, financial packages for Avaya Financial Services. Ordered and billed clients for telephone system orders.

• Verified all documentation was received and correct.

• Billed orders after verification of installation and sent invoices to clients or credit companies to ensure payment of orders.

Lease Processor Representative

• Liaison for Northwest territory account managers/sales associates for Leasing of Telecommunications equipment via AT&T Credit Corp.

• Assisted in acquiring and resolving credit issues regarding the Leasing/SPP (Service Protection Plan) of Telecommunications equipment.

• Assisted in resolution of billing issues received via inbound calls.

• Processed lease information to get credit approval and payment from leasing companies for clients.

Customer Relationship

Management (CRM)

Windows

MS Outlook

MS Word

MS Excel

Salesforce

SAP

Siebel

Cirr (CRM)

Cloudlex

MS PowerPoint

Oracle

Nativa

Smart tools

E- signature

One Drive

King High - GED -1985 - Business

Erwin Tech Microsoft and Windows -1997

Education

Professional Experience



Contact this candidate