Medical Customer Service

Kimberly Gaskin

**** ****** ********** ***** *** 115 Atlanta, GA 30341 770-***-**** *******@*****.***

PROFESSIONAL SUMMARY

Dedicated professional with 9 years’ experience while working in Healthcare Billing, Workers Compensation, Homeowners, Commercial and Personal Automobile lines. Effectively manage multiple, high-priority projects, exemplary customer service and meet tight deadlines without compromising quality.

• HIPAA and JCAHO Knowledge

• Database Administration

• Spreadsheet/Reports

• Managed a high volume workload within a deadline

driven environment

Education

Macon State College – Macon, Georgia

Enrolled in Healthcare Informatics, January 2011-Present

Savannah State University – Savannah, Georgia

Bachelor of Science Business Administration

Professional Experience

Utica National Insurance/Claims Solution - Atlanta, Georgia

Temporary Workers Compensation Billing Specialist 08/2011 to 12/2011

Reviews charges prior to billing to minimize underpayment, denials and re-bill attempts. Submits claims medical providers with the appropriate Explanation of Benefits.

• Authorized payments for medical bills

• Maintained accurate records and update status notes

QBE First/Axiom Staffing - Atlanta, Georgia

Contract Claims Assistant 04/2011 to 06/2011

Analyzed homeowner claims to determine extent of liability. Collaborated with insurance agents and interviewed claimants to correct errors and investigate questionable issues.

• Prepared homeowners new claim loss reports and entered data into claim systems

• Supported other team members to enhance overall team productivity

Cypress Care Healthcare/Staffing Time – Duluth, Georgia

Contract Claims Assistant 04/2010 to 07/2010

Communicated to existing customers the details of their DME billing, assisted to ensure customers had a good understanding of orders and deliveries. Coordinated with accounting department to close out billing orders.

• Reviewed, processed and maintained medical services orders and supplies

• Scheduled and confirmed deliveries of orders for billing

21st Century Group/Claim Solutions – Alpharetta, Georgia

Contract Claims Assistant 05/2009 to 12/2009

Created accurate and timely set up of first notices of loss of Personal Automobile claims using internal systems in accordance with established procedures.

• Supported claims adjusters in processing hundreds of insurance claims

• Analyzed and determined completeness and validity of claims

Chamberlin Edmonds/Office Team - Atlanta, Georgia

Contract Resolve Application Specialist 12/2007 to 06/2008

Assisted uninsured patients with medical assistance. Provided patients with knowledge of local, state and federal programs. Efficiently maintain and update general information, financial and medical to support client application.

• Interviewed clients to assist them in obtaining maximum benefit coverage

• Reviewed medical records and taking all actions necessary to expedite benefit approval

Kimberly Gaskin Résumé, Page Two

Metro Healthcare Center - Duluth, Georgia

Medical Receptionist 05/2005 to 05/2008

Provided reception and clerical services for the patients of a medical office. These support services include medical billing, patient appointments and patient contact.

• Verified medical insurance, acquiring payment authorizations and filing of medical charts

• Answered all incoming calls, taking messages and setting up new patient appointments or rescheduling

AIG Claim Services Property and Casualty - Alpharetta, Georgia

Claims Support Specialist 09/2003 to 05/2005

Supported claims adjusters in processing hundreds of first- and third-party workers compensation insurance claims. Assisted medical providers in a busy call-center environment.

• Developed a strong understanding of insurance policies and legal issues through completion of a series of insurance classes coupled with in-depth, multi-week claims training

• Developed new hire program, created claim setup manual to use during training to aid new employees

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