Communicate with businesses via the telephone and written correspondence
Complete activities such as phone calls, internet searches, third-party report reviews, etc., to obtain reliable contact information
Maintain minimum account work standards as assigned by Management.
Negotiate claims’ resolution with insurance carriers, attorneys, and responsible parties
Establish agreements for lien releases
Establish monthly payment contracts
Prepare investigative correspondence
Acquire background information, when necessaryAnalyzed subrogation claims to ensure compliance with regulatory requirements and internal policies.
Collaborated with legal teams to gather documentation and support case preparation for recovery efforts.
Evaluated claim files to identify recoverable amounts, improving accuracy in financial assessments.
Developed and maintained relationships with external stakeholders, enhancing communication throughout the subrogation process.
Medical Record Chaser
Virginia Premier
01.2019 - 01.2022
Verifying information with doctors offices then daxing medical record request. Following up with offices ince fax received. Once records are received fowarding correct records to Abstractors for review on medical measures.
Billing Specialist
Eggleston
11.2017 - 10.2018
Data entry. Entering Doctors charges tickets for the day. Entering payments such as insurance remit payments. Self pay payments. Working denials. Pulling medical record's for appeals. Calling insurance companies. Researching eligibility. Calling patients for payment on account balances. Working with medical coding on dx problems on claims or cpt issues. Working directly with many different medical offices with any information needed.
Adminstrative Assistant
Long and Foster
04.2017 - 07.2017
Answering phones, scheduling appointments, approving applications for rental, checking references, credit , greeting clients , making sure maintenance request taken care of. Answering emails . Faxing etc this was a temporary job through Aeroteck while was looking for full time.
Subrogation Specialist
Allstate Insurance
08.2015 - 07.2016
Filling files and making attachments to email lawyers to work on subrogation claims, police records, health records. Spreadsheets, incoming calls, letters
Claim
ANthem BC BS
04.2012 - 07.2015
Responsibilities taking calls for FEP members , claims, issuance verifications, benefits, refunds , adjustments, sending claims for reconsideration, outgoing calls to providers for updated info or additional info, calling companies for members on bills.
Claims
Liberty Medical
04.2002 - 09.2012
Responsibilities work denied claims , sent adjustments online to insurance companies, sent corrected claims, called had claims reconsidered that denied incorrect. mailed claims, took patient calls on bills, updated insurance, addresses , called verified insurance, sent letters, kept spreadsheets, sent refund request, took incoming calls from insurance companies and patients, faxes, emails,. Accomplishments billing and customer service experience for 11 years almost Skills Used learning to deal with patients with medical issues , compassionate , claims, insurance verifications, calling insurance companies and patients with needs , adjusting bills for members when billed incorrect. faxing , email, excel spreadsheets, dealing with people in general .