Edwina Etheridge
Virginia Beach
Summary
I am writing to express my interest in the Contract Specialist position. After reviewing the job requirements and responsibilities, I believe that my experience and skills make me a strong candidate for the role.
Overview
13
13
years of professional experience
Work History
Reimbursement Specialist
Chesapeake Integrated Behavioral Healthcare
06.2024 - Current
- Prevented delays and claim denials by correcting information prior to submission.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Performed VA and federal regulations compliance audits related to documentation and reporting.
- Delivered timely information to insurance representatives to resolve common and complex issues.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Processed vendor and supplier payments on weekly basis.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
VP Premium Disbursement Processor
USI Insurance
11.2020 - 05.2024
- Process check requests to forward premium payments to clients, finance companies, or direct bill insurance companies.
- Prepare checks, wire transfers, and ACH payments for premium disbursements.
- Communicate with internal USI offices, finance companies, and insurance carriers regarding premium payments.
- Manage assigned email boxes and respond to requests efficiently, potentially within a specified timeframe.
- Monitor open check requests to ensure payments are received, process returns, and resolve uncleared checks.
- Manage tasks within systems like ImageRight, including processing premium disbursements for assigned regions or offices.
- Meet quality standards for processing.
- Follow all audit policies and procedures.
- Scan approved payment support into electronic document management systems.
Office Manager
World Class Realty
06.2012 - 11.2020
- As an Office Manager at World Class Realty, I have gained extensive experience in managing accounts payable and receivable, reviewing contracts for compliance, and processing commission checks. I am confident that these skills will be an asset in preparing and verifying client information to set up accounts and records for insurance processing.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Education
Certificate - Medical Coding And Billing
DeVry University
Virginia Beach, VA05-2023
Skills
- Staff hiring
- Bookkeeping
- Billing
- Vendor engagement
- Business administration
- Financial tracking
- Organizational skills
- Office administration
- Clear oral/written communication
- Contract administration
- Compliance monitoring
- Contract negotiations
Timeline
Reimbursement Specialist
Chesapeake Integrated Behavioral Healthcare
06.2024 - Current
VP Premium Disbursement Processor
USI Insurance
11.2020 - 05.2024
Office Manager
World Class Realty
06.2012 - 11.2020
Certificate - Medical Coding And Billing
DeVry University
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