Billing & Claims Specialist with Leadership Experience

RITA LOWENSTEIN

Ellenton, FL 786-***-**** **************@*****.***

PROFESSIONAL SUMMARY

Experienced Billing and Insurance Professional with 20+ years of expertise in medical billing, disability claims, and workers’ compensation administration. Proven ability to manage high-volume claims processing, resolve denials, ensure regulatory compliance, and support revenue cycle operations. Strong leadership background with experience supervising billing teams and improving workflow efficiency. Recognized for accuracy, problem-solving, and exceptional customer service in remote and fast-paced environments.

CORE COMPETENCIES

Medical Claims Processing

Payment Posting & Reconciliation

Denial Management & Appeals

Insurance Follow-Up

Workers’ Compensation Billing

Short-Term Disability & Leave Management

Revenue Cycle Support

Accounts Receivable

Regulatory & HIPAA Compliance

Microsoft 365 & Excel

Team Leadership & Staff Development

PROFESSIONAL EXPERIENCE

Billing Specialist Integrated Dermatology Remote, FL 08/18/2020 – 01/09/2026

Processed and submitted high-volume medical claims with strong accuracy and attention to detail

Performed payment posting and account reconciliation to ensure accurate revenue reporting

Conducted insurance follow-up and resolved claim denials and billing discrepancies

Collaborated with providers and administrative staff to ensure proper documentation and coding

Delivered patient-focused service while maintaining compliance with payer guidelines

Catering Operations Coordinator Einstein Bros. Bagels Plantation, FL 2017-2020

Managed corporate catering accounts in a high-volume environment

Coordinated order fulfillment and cross-functional communication to ensure on-time delivery

Resolved service concerns and maintained strong client relationships

Oversaw operational workflows to improve efficiency and customer satisfaction

Disability / Leave Benefit Manager Aetna (CVS Health) Plantation, FL 2012– 2017

Managed end-to-end Short-Term Disability and Leave of Absence claims for employer-sponsored plans

Interpreted policy provisions and ensured compliance with federal and state regulations

Coordinated with employers, employees, and medical providers to resolve complex claims

Delivered high-quality customer service while maintaining productivity standards

Billing Supervisor Broadspire Sunrise, FL 2006 – 2011

Supervised billing staff responsible for high-volume workers’ compensation claim processing

Trained and developed team members while monitoring productivity and quality metrics

Improved workflow efficiency through process oversight and issue resolution

Ensured compliance with regulatory standards and client requirements

Maintained strong client relationships through proactive communication and problem-solving

EDUCATION

Argosy University

Coursework in Addiction Counseling 2015

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