Remote Scheduling Coordinator - Legal Insurance Ops

Lizeth Vanhorn

Jacksonville, FL ***** 904-***-**** ********@*****.***

Detail-oriented legal and insurance professional with over 10 years of experience in claims support, billing review, insurance reimbursement, and administrative operations. Skilled in litigation invoice review, insurance claims analysis, and regulatory compliance. Bilingual in English and Spanish with strong analytical and problem-solving abilities.

Bachelor of Science: Criminal Justice

Austin Peay State University - Clarksville, TN

• Claims & Litigation Invoice Review • Insurance Reimbursement & Appeals

• Legal Documentation Review • Microsoft Word, Excel, PowerPoint

• Bilingual: English & Spanish • Strong Analytical & Problem-Solving Skills

• Detail-Oriented with Strong Organizational Skills Legal Billing Reviewer, 10/2019 - 06/2026

Citizens Property Insurance – Jacksonville, FL

Analyzed and reviewed litigation-related invoices to ensure compliance with vendor contracts and internal policies.

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• Conducted claims research and data analysis using internal claim systems

• Verified accuracy of court reporter and vendor billing. Insurance Reimbursement Specialist, 02/2018 - 10/2019 UF Health Proton Therapy Institute – Jacksonville, FL Determined appropriate action to obtain reimbursement for radiation treatment, diagnostic testing, and follow- up care.

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Reviewed and interpret electronic remits and EOB's to work insurance denials and to determine appropriate insurance

adjustments and obtain adjustment approvals as outlined in the company policy.

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Applied critical thinking skills to each unique Appeal or Reconsideration Request, and Single Case Agreements.

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Referral Coordinator, 06/2014 - 02/2018

Baptist MD Anderson Cancer Center

• Provided referral assistance to physicians, patients, and insurance companies.

• Obtained authorizations for diagnostic testing, surgeries, chemotherapy, and radiation. Effectively communicate patient account inquiries, and resolve insurance and billing issues by utilizing all resources for account resolution.

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Patient Financial Specialist, 10/2010 - 05/2014

Jennie Stuart Medical Center – Hopkinsville, KY

• Researched claims submission errors or payer requests to quickly and accurately collect payment.

• Followed up claims for Commercial insurances and Workers Comp.

• Posted Manual and Electronic Remittance of all insurances and patient payments. Professional Summary

Education

Skills

Work History

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