Insurance Operations Leader with 15+ Years Experience

PROFESSIONAL SUMMARY

Insurance and healthcare operations with 15+ years experience in claims support, insurance eligibility analysis, medical office management, work from home setting, and regulatory compliance. Proven ability to work independently, analyze insurance information, apply medical terminology, and communicate professionally in high-volume, regulated environments. Strong Excel and Microsoft Office proficiency with solid HIPPA knowledge. EMPLOYMENT

General Manager Urban Air Trampoline & Park

Sugar Land, TX Jan 2023 - Feb 2026

Urban Air

Jan 2023 – Feb 2026

Oversaw full business operations including staffing, payroll, scheduling, and financial performance.

Managed and supervised large teams, including hiring, training, performance management, and terminations.

Implemented process improvements to increase operational efficiency and accountability. Maintained detailed reporting and performance tracking using Microsoft Excel. Provided executive-level updates on performance metrics and operational outcomes. Qualifying Agent Selectquote Insurance (Remote)

Kansas City, KS May 2020 - Dec 2024

Assisted clients with insurance plan selection and regulatory-compliant documentation. Maintained strict adherence to federal and state insurance regulations. Reviewed policy details, eligibility requirements, and compliance standards. SCHWANA

YOUNG

**********@*****.*** 346-***-****

5103 Rollingstone Road United States

SKILLS

General Manager (Expert)

CPT & ICD coding (Experienced)

HIPPA Laws (Expert)

Insurance communication (Expert)

Claim reviews (Expert)

Medical Terminology (Experienced)

Microsoft Office, Excel, Formulas,

Pivot Tables (Expert)

Professional Communication

(Expert)

Attention to detail (Expert)

Quick Learner (Expert)

Professional appearance (Expert)

Insurance Acknowledgment and

Reviews (Expert)

Documented client communications thoroughly and professionally. Utilized CRM systems and Microsoft Office tools in a fully remote environment. Handled 700+ calls daily while minimal supervision in HIPPA-regulated environment Office Manager Dr. Synigal Medical Practice

Beaumont, TX May 2009 - Jun 2020

Managed end-to-end insurance billing, claim submission, and reimbursement follow-up. Reviewed and analyzed claims for accuracy, coding integrity, and proper documentation. Worked directly with insurance carriers to resolve denials and reimbursement discrepancies.

Maintained compliance with HIPAA and all privacy regulations. Demonstrated knowledge of CPT codes and medical terminology. Performed clinical support duties including blood pressure checks, weighing patients, and coordinating patient intake.

Scheduled appointments, answered high-volume calls, and maintained patient records. Managed payroll, staff scheduling, hiring, training, and terminations. Prepared reports and tracked billing metrics using Microsoft Excel. EDUCATION

Central Sr. High School High School Diploma

Beaumont, TX Aug 1995 - May 1998

Lamar State College Certification

Orange, TX Jan 2003 - Dec 2004

Lamar Institute of Technology Associate Degree

Beaumont, TX Jan 2008 - May 2010

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