April Ermac
Sparks,NV
Summary
Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 7 years of experience and willingness to take on any challenge. Detailed Insurance Clerk with demonstrated commitment to organization, service and professionalism. Excellent computer and communication skills with exceptional knowledge of various insurance policies. 60 to 80 wpm type speed.
Overview
11
11
years of professional experience
Work History
Insurance Claims Specialist
Renown Regional Medical Center
Reno, NV
06.2014 - Current
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Followed up with customers on unresolved issues.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Coordinated with contracting department to resolve payer issues.
Pit Clerk
Grand Sierra Resort And Casino
Reno, NV
08.2009 - 09.2010
- Transferred credit instruments to cage for guest redemption to create efficiency for guest service.
- Verified actual amount of markers in pit versus computer totals to properly account for credit instruments.
- Tracked guest play, printed payout marker and balanced fills, credits and markers activity to safeguard company assets and support cage.
- Monitored customers and searched for violations of gaming regulations and casino policies.
Sales Associate
Cricket Phone Company
Reno, NV
05.2007 - 04.2009
- Organized racks and shelves to maintain store visual appeal, engage customers and promote specific merchandise.
- Provided positive first impressions to welcome existing, new and potential customers.
- Helped customers locate products and checked store system for merchandise at other sites.
- Answered customer questions regarding sizing, accessories and proper care for merchandise.
Education
Associates Degree Health Information Management -
Career College of Northern Nevada
Sparks, NV02.2014
Skills
- Codes ICD 9 AND 10 and HCPCS
- 60 WPM
- Bilingual( Tagalog)New Policies Processing
- Eligibility Determinations
- Data Entry Software
- Claims Understanding
- Reporting abilities
- Insurance plan verification
- Medicaid knowledge
- Background in insurance
- Outstanding clerical abilities
Timeline
Insurance Claims Specialist
Renown Regional Medical Center
06.2014 - Current
Pit Clerk
Grand Sierra Resort And Casino
08.2009 - 09.2010
Sales Associate
Cricket Phone Company
05.2007 - 04.2009
Associates Degree Health Information Management -
Career College of Northern Nevada
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