As a Remote Team Manager, I oversaw a team of 10 at a California clinic, managing various tasks such as appointment setting, phone answering, insurance verification, prior authorization, fax document organization, and claims processing.
Over the course of 4 years, I gained expertise in CA Worker's Compensation and Private Insurance. In particular, I handled medical bill processing from submission to collections, including:
• Verifying medical claims submitted for providers, hospitals, and patients
• Reviewing insurance claims forms for completeness and correctness before submission
• Ensuring timely and accurate processing of bills
• Following up with insurance carriers regarding claims/bill status
• Following up on objected bills/bills processed in error, including incorrect charges, benefits, and ineligible claims
• Submitting denied bills to supervisors for the inaccuracy of denials
• Determining whether the denial/acceptance of a claim is based on policy guidelines and services
• Appealing/resubmitting bills for reprocessing to insurance companies
• Applying correct benefits/payments to the claimant's account
I am proficient in various applications and adaptable to new systems and technologies. I am a self-motivated and dependable worker who concentrates fully on the task at hand and requires minimal supervision.
My strength lies in finding solutions and developing processes that contribute to the excellent quality of work. I seek a long-term, stable job where I can be a valuable asset to the business.
Additionally, I have experience in Real Estate as a Receptionist, Property Marketer, and Listing Agent. I have handled inquiries over the phone and listed properties on Zillow and MLS.
Experience: Less than 6 months
Experience: Less than 6 months
Experience: Less than 6 months
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- Lukas Rohler
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