Provider Support Technician & Provider Data Specialist
Resume:
Jennifer Carlson
*****************@*****.***
Amarillo, TX
Provider Support Technician resolves dental provider questions on network participation, eligibility, reimbursement, and claims payment discrepancies. Maintains provider demographic and tax records while coordinating with internal teams to close issues quickly and accurately. Delivers service that protects compliance and keeps provider data current. Professional
Summary
01/2003 - 01/2004
PHP/IOP Intern
Hinsdale Hospital/New Day Center, Hinsdale, IL
01/2002 - 01/2004
Retail Sales Associate
The UPS Store, Downers Grove, IL
01/2000 - 02/2002
Area Transfer Sales Manager
MB Midwest/Deb's PMS, Westmont, IL
02/1998 - 11/1999
Executive Technology Recruiter
Streetsmart, Oak Brook, IL
03/1993 - 10/1998
Senior Account Representative
Executeone/Clariom Business Solutions, Westmont, IL PROFESSIONAL
EXPERIENCE
Assisted healthcare professionals with patient care tasks, ensuring a supportive environment.
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• Coordinated patient appointments and follow-ups to enhance operational efficiency.
• Maintained accurate medical records and documentation in compliance with regulations.
• Supported daily operations by managing inventory and supplies for clinical areas. Assisted customers with product selections and provided exceptional service to enhance satisfaction.
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• Operated point-of-sale system efficiently, processing transactions accurately and quickly. Maintained organized inventory, ensuring products were stocked and displayed effectively.
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Collaborated with team members to streamline daily operations and improve workflow efficiency.
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• Boosted area gross profit by 8% through targeted sales and marketing strategies.
• Exceeded recruiting goals by 200%, enhancing talent acquisition effectiveness. Increased annual installed-base sales from $750,000 to over $1 million by managing 200+ business accounts.
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11/2024 - 06/2025
Provider Support Technician
HCSC / Dearborn Life Insurance
10/2022 - 12/2022
Licensed Sales Producer
Clarisha Canales Allstate Agency, Amarillo, TX
02/2022 - 08/2022
Licensed Insurance Sales Advisor
Covered Insurance Solutions
01/2019 - 01/2022
Property & Casualty Licensed Sales Agent
Alice Brooks Insurance, Amarillo, TX
2006 - 2010
Corrections Transition Team Lead
TASC, Aurora, IL
Supported dental providers with network participation, eligibility, and reimbursement inquiries, enhancing provider satisfaction.
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• Investigate and resolve fee schedule and claims payment discrepancies.
• Update provider demographic information, tax records, and network participation. Collaborated with internal departments to resolve provider issues promptly, improving overall service quality.
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Delivered customer service with a focus on accuracy and compliance, contributing to a positive provider experience.
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Generated new business through outbound prospecting, referral development, cross- selling, and win-back campaigns.
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• Educated clients on insurance coverages, liability risks, and policy options. Assisted customers with policy changes, billing inquiries, claims, endorsements, and service requests.
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Identified bundling opportunities for policies, boosting customer value and retention rates.
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Referred qualified clients to Life and Financial Services specialists, facilitating comprehensive financial planning solutions.
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Guided inbound insurance shoppers in comparing multiple carriers to select optimal coverage options.
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• Evaluated customer needs and recommended personalized insurance solutions.
• Clarified coverages, deductibles, and policy benefits to enhance customer understanding.
• Fostered customer trust, contributing to high levels of client satisfaction.
• Remote
Earned Texas General Lines Property & Casualty License within eight months of employment.
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Quoted, sold, and serviced personal and commercial insurance policies, enhancing client coverage and satisfaction.
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• Processed endorsements, renewals, policy changes, payments, and customer requests. Sold commercial and title bonds, fostering strong customer relationships to support ongoing business.
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Assisted clients, lenders, and business owners with policy questions and tailored coverage solutions, ensuring clarity and understanding.
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2004 - 2006
Adolescent Treatment Counselor
Cornell Interventions, Hinsdale, IL
Supervised case managers and recovery support staff across multiple Illinois regions to enhance service delivery.
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Managed a caseload of 45-50 clients transitioning from correctional facilities into the community.
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Coordinated housing, employment, treatment, and community support services to facilitate successful client reintegration.
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Partnered with parole officers, treatment providers, and state agencies to promote successful client outcomes.
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Prepared detailed reports ensuring compliance with agency standards and supporting program accountability.
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Facilitated individual, family, educational, and group counseling sessions to promote adolescent mental health and emotional well-being.
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• Facilitated individual, family, educational, and group counseling sessions. Ensured compliance with DASA and JCAHO documentation standards to uphold quality care in treatment processes.
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Supported development and implementation of residential treatment programming tailored for adolescents' needs.
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01/2004 Associate of Applied Science (A.A.S.), Addictions, College of DuPage, Glen Ellyn, IL
EDUCATION
• Academic Honors (2002-2004)
• Completed Accelerated Addictions Program
• Completed 2,000-hour Clinical Internship
Provider relations, Claims & billing support,
Relationship management, Problem resolution, Provider network management Insurance sales & account management, Cross-selling
& business development, Customer service excellence, Commercial insurance, Policy servicing & endorsements
Skills Provider Relations & Network Operations:
Client Growth & Account Service:
Texas General Lines Property & Casualty License (Previously Licensed) Texas Life & Health Insurance License (Previously Licensed) Illinois Certified Alcohol & Drug Counselor (CADC) LICENSES &
CERTIFICATIONS
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