Dynamic, driven, and self-motivated medical insurance industry professional with an exemplary career history including extensive experience in benefit administration, plan configuration,billing, coding, posting, and claims handling. A skilled leader, highly resourceful and knowledgeable, with a proven record of success in navigating the complexities of insurance-related environments. Excited to return to the workforce after a short time away managing a personal issue. Medical Claims and Billing• 15+ years of invaluable experience in the medical insurance industry, consistently exceeding expectations• Skilled in Benefit Configuration and Administration, TPA, COB, Commercial, Medicaid, Medicare• Extensive knowledge of Medical Terminology, ICD-9/10 and CPT-4 Coding • Vast background in Billing & Coding, Due Diligence, AR/AP, and Payment Posting• Superior skills in Claims Processing and Adjusting, Benefits Verification, and Dispute Resolution• Knowledgeable of coordinating benefits with health plans and TPAsTechnical Skills• Interprise/Allscripts, Nextech, Payerpath, Trizetto/Gateway, SpaMed, Medical Manager, Salesforce/Identifi• Proficient in Microsoft Windows Programs and Microsoft Office SuiteInterpersonal and Leadership• Excellent interpersonal communication, listening, and issue resolution skills• Exemplary customer focus, collaborates with physicians, insurance companies, and patients• Experienced in mobilizing and motivating work teams to exceed set performance standards• Able to de-escalate tense situations with customers and promote positive outcomes• Strong organizational abilities, meticulous attention to detail, and skilled multi-tasker• Sound judgement and analytical reasoning abilities, quickly resolves complex problems