Insurance Processor Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

To join a well-established company as an Insurance Processor in which my past experience will help me excel.

Highlights of Qualifications:

  • Substantial experience in health care business
  • Profound knowledge of administrative processes and computer software applications
  • Proficient in clinical reimbursement system utilized for multi-applications
  • Solid understanding of medical terminology and mainframe insurance procedures
  • Ability to adjust with changes in assignments and insurance processing procedures
  • Ability to cope up with client’s requirements at ease
  • Ability to comprehend EOB related information and correspondence

Professional Experience:

Insurance Processor

Prominent Title Agency, LLC, Warren Center, PA

August 2007 – Present

  • Provided prompt and effectual service to customers who interacted using VNSNY.
  • Informed insurance status from different insurance plans and provided home care authorization requests.
  • Attained eligibility confirmation through communicating with insurance carrier.
  • Processed all correspondence related to patients and insurance complying with established standards.
  • Received and responded to inbound and outbound calls with insurance companies and patients.
  • Retrieved voice messages collected in voice mail and solved appropriately.
  • Monitored AR and patient accounts along with suitable follow-up.
  • Analyzed and resolved issues concerning billing and reimbursement.

Insurance Processor

Aerotek Professional Services, Warren Center, PA

May 2004 – July 2007

  • Evaluated loan applications to identify flood coverage availability for Condo properties.
  • Monitored commercial lines process and communicated with customers and agents as routine task.
  • Responded to all queries received over telephone and emails.
  • Ensured to provide best possible customer service and optimum use of various programs.
  • Identified all essential equipments and preserved information on every status approval.
  • Managed all processes and insurance claims filters along with offered technical assistance to entire workflow operations.
  • Maintained effective communication with related employees, customers and insurance personnel on routine activities.

Education

Associate Degree in Business

Southwest Mississippi Community College, Summit, MS