Position Desired: Social Security Disability Claims
Medical Insurance Specialist Degree
Work History / Experience:
April - May
Chamberlin Edmonds Charlotte, NC
Client Support Specialist
Interview clients to assist them in obtaining maximum benefit coverage.
Complete applications for state and federal programs, review medical records and take all actions necessary to expedite benefit approval.
Maintain ongoing communications with government agencies regarding the status of claims.
Receive incoming calls from agencies, clients and health care representatives.
Resolve accounts listed on reports by identifying and taking appropriate actions (call clients, call caseworks, complete required forms, etc).
Use knowledge of SSA process to complete recon appeals.
Contact client to complete proper forms for the appropriate appeal within the day time period.
Review medical records prior to filing recons and hearings for medical analysis necessary to pursue at that appeal level.
Feb - Jan
Fahey Medical Center Des Plaines, IL Claims Adjuster/Medical Biller
Adjudicate commercial insurance claims.
Receive and process patient payments.
Review and analyze explanation of benefits.
Reconcile misapplied payments and reimbursement of any funds.
Sept - Feb
Evanston NW Healthcare Skokie, IL
Schedule appointments and enter appointment date into computerized scheduler.
Prepare billings in computerized system for processing by finance.
Answering and directing all incoming calls.