Customer Service Claims Adjuster
Resume:
Kassandra Murphy
****************@*****.***
Professional Summary
●10 + Years in Administration & Customer Service
●Great communication skills, supportive attitude, and maintaining integrity.
●Excellent attention to detail, research abilities, and negotiation with appropriate resolution skills.
●Ability to know healthcare terminology.
Skills Summary
Administrative Support:
●Conducted outbound calls as well as answering inbound calls.
●Schedule Appointments
●Inserted patient information into the database.
●Verify medical insurance.
●Send documents to the correct department.
●Help clients with any billing questions.
Medical Administration:
●Managed front-end office management for multiple doctors
●Handled inbound and outbound insurance verification.
●Managed billing and coding data entry collections.
Claims Adjuster:
●Answer incoming phone calls.
●Effectively identified provider contracts.
●Verified demographics
●Managed collections on past-due accounts and claims.
●Managed account receivables using a variety of software system platforms.
●Handled appeals, denials, and pre-authorizations utilized by the various providers.
Professional Experience
TCS Consultants March 2022 – Oct 2024
Customer Service
Contract Ended
Molina Healthcare May 2019 - Oct 2021
Insurance Verification Specialist
Contract Ended
Radnet Radiologix Feb 2018 - Aug 2019
Customer Service
Contract Ended
Crow Medical Billing Nov 2011 - May 2015
Lead Supervisor
Contract Ended
Williams Medical Billing April 2008 - Mar 2011
Claims Adjuster
Contract Ended
Tseng Doctor’s Medical Mar 2006- Mar 2007
Medical Administrator
Contract Ended
Education
High School Diploma
Plano East Senior High 1982-1984
Certification
Everest College 2005-2006
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