Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
18
18
years of professional experience
Work History
Inbound Sales Associate
Comcast, Xfinity
Philadelphia, PA (remote)
08.2023 - Current
Established credibility with potential buyers by addressing objections effectively through persuasive negotiation tactics that showcased unique selling points of offered products or services.
Consistently exceeded monthly sales goals by proactively identifying upselling opportunities and cross-selling complementary products.
Conducted thorough competitor analysis to stay informed on market trends, allowing for more strategic selling approaches tailored to current conditions.
Maintained a consistently organized workspace to facilitate efficient handling of incoming calls and minimize distraction during peak periods of call volume.
Collaborated with team members to develop and implement strategies for boosting overall sales performance within the department.
DIRECT SALES SENIOR ACCOUNT EXECUTIVE
Dish
Englewood, CO
03.2021 - Current
Discussed service levels with customers and potential upgrades
Attracted clients, negotiated contracts and closed deals through sales strategies and personable demeanor
Wrote sales proposals, set up contracts and finalized deals.
ADMINISTRATIVE HEALTH CUSTOMER CARE
Sykes
Tampa, FL
11.2020 - 02.2021
Claim status inquiries: denials, repayments, and substantiation
Benefits debit card management
Website navigation assistance
Inbound and Outbound customer care.
PATIENT FINANICAL ADVOCATE- TEAM LEAD
Lutheran Hospital
Fort Wayne, IN
01.2019 - 01.2021
Coordinates admissions process and communicates with physician offices, nursing and other service areas to promote timely and accurate registration process
Verifies insurance benefits, documents pre-authorization/pre-certification when necessary, assesses need/eligibility for financial assistance, and collects applicable co-pays and/or deductibles
Provides support in assisting patients and family members with resolution of all their financial needs by establishing payment arrangements or financial assistance determination
This includes partial payments, payment-in-full settlements, Medicaid eligibility assistance and charity application processing
Promotes patient satisfaction, follows community cares standards serving as a liaison on behalf of hospital and patient
Providing support in assistance to patient to resolve financial needs with payment plans, Medicaid eligibility assistance and charity application processing.
COMMERCIAL SALES
Frontier Communications
Fort Wayne, IN
06.2016 - 01.2019
Strong phone and presentation skills
Excellent rapport building skills
Goal and results driven
Always follows through and completes tasks on time
Project management ability
Community Involvement is expected
Knowledge of Systems - STATS, DPI, Salesforce.com
Consistently increase sales by developing key customer relationships
Maintained open communication, followed-up on customer needs and offered new products to account holders to maintain client base and encourage repeat buyers
Grew customer base by aligning relevant product solutions with desired price points.
ASSISTANT STORE MANAGER OF ADMINISTRATION
Lowe's
05.2006 - 05.2016
Provided direct leadership to sales specialist across multiple product categories and sales channels
Provided coaching, mentoring, and training to the sales team
Created a culture that thrives on open communication and constructive feedback
Analyzing reports to create specific plans of action to drive sales and margin
Front end support as well as daily administrative procedures, including preparing daily deposit, oversees training and development processes
First point of contact for customer incident reporting and resolution services.
Education
AAS - Health Care
Ivy Tech Community College
Fort Wayne, IN
05.2026
Skills
Medical terminology knowledge
HIPAA Compliance
Administrative and Office Support
Insurance Verification
Patient confidentiality
Appointment Scheduling
Additionalinformation - Communication
Provided coaching, mentoring, and training to sales teams. I created a culture that thrives on an open communication and constructive feedback Leadership direct leadership to sales specialist across multiple product categories and sales channels. Analyzing reports to create specific plans of action to drive sales and margin.