Data Entry
JOYCE L. TIMMONS
Home: ------------ Cell: ------------ ------------ Suitland, MD 20746
October, 2019
Dear Human Resource Professional:
Please accept this letter and attached resume as I apply for the Medical Claims Processor or Data Specialist position within your company. You will find that my experience and skills align well with the qualifications of the position. I have over 10 years of well-versed experience in payment processing, patient customer service, billing, account reconciliation, claims analysis, and data entry. I am confident that after reading my resume, you will find me worthy of consideration.
After a shift in the claims management department, my position was eliminated causing an unexpected separation from a reputable company. I am ready and eagerly seeking a position aligned with my professional skills as well as one that will allow me to learn new skills while I earn pertinent certification. Previous employment has afforded me a well-rounded skill set and has prepared me to work in various environments. Here are a few highlights of my qualifications:
• Comfortable working in a in high-volume work environment that is dependent on strong medical service
orientation, accuracy, productivity, quality service, and multi-tasking.
•Processed over 100 health insurance claims daily and generated payments for a team of 150 claim processors.
• Well-versed transferable skills that can be utilized in various medical office settings and work environments.
• Streamline workflow, ensure administrative effectiveness, and optimize internal support performance.
• Possess strong skills in billing software and Microsoft Word & Excel; able to learn systems quickly.
• Effective team collaboration; works well on a team or independently, needing little or minimal supervision.
If you see a match in your hiring needs and my skills, please do not hesitate to contact me for a phone or in person interview. Thank you for your attention, time and forthcoming response.
Best Regards,
JOYCE L. TIMMONS
Attachment: Resume
JOYCE L. TIMMONS
Home: ------------ Cell: ------------ ------------ Suitland, MD 20746
CAREER FOCUS
A focused, accurate, and highly productive professional seeks a position where developed skills and experience will lead to a medical billing position. Extensive experience in claims processing, payments, and quality assurance for individuals and large institutions in the health insurance industry. Accustomed to high volume work environments dependent on strong service orientation, professionalism, a high level of responsibility, flexibility, and multi-tasking.
SUMMARY OF QUALIFICATIONS
Medical Billing ? Claims Processing ? Payment Discrepancies Research • Coding Systems •Payment Posting •Patient/Customer Service• Data Entry • Account Reconciliation • Electronic Medical Records
? Patient Registration • Multiple Project Managing • Total Care Management • Business Office/Clerical Procedures
RELATED PROFESSIONAL EXPERIENCE
CAREGIVER, HOME HEALTH CARE, (Private Care) - Bowie, MD •10/2012 – 9/2019
• Provided attentive direct care to a terminally-ill patient; assisted with daily living skills including transporting, hygienic care, dressing, and feeding.
• Maintained and updated records of patients’ progress and health condition.
• Discussed patients’ behavioral changes with immediate family members.
• Administered oral medications as per doctor’s instructions.
• Assisted patient and accompanied patient to the activity center for daily exercises.
CAREFIRST BLUE CROSS BLUE SHIELD, Washington, DC •1995 - 2012
CLAIMS PROCESSOR II • (1998– 2012)
• Processed over 100 health insurance claims daily and generated payments for a team of 150 claim processors reporting directly to Claims Management.
• Eliminated monthly delays in processing rates by 5% for over 6,000 claims by reviewing system edits for errors and forwarding to proper department for corrections.
• Selected by management to train and mentor 5+ temporary associates hired to assist with data entry processes for backlog of overdue claims.
• Achieved Quality Gold cup award for reaching 98% of objective in reducing patient claim errors by identifying oversights and miscalculations of payments and verifying accuracy of each claim. Awarded 3 times during tenure. Communicated with doctors and nurses regarding patient insurance eligibility and policy coverage and responded to telephone and written inquiries from physicians and customers which resulted in expedited payment processes and ensured accuracy.
JOYCE L. TIMMONS •PAGE 2
CAREFIRST BLUE CROSS BLUE SHIELD, Washington, DC •1995 - 2012
DATA SPECIALIST• (1995 – 1998)
• Coordinated, researched and responded to inquiries and / or complaints from members, providers and employers, as well as the MD / DC / VA Insurance regulatory agencies.
• Furthered response time to customer inquiries 25% by creating multiple subject response letter templates used by data specialists which improved the efficiency of the department and increased customer service.
• Active participation on a team that coordinated the total care management activities for 2 large inpatient institutions; Howard University and Children's Hospital. Verified benefits of acute and alternative levels of care for insurance claims processing.
• Updated and ensured accuracy of patient files processing both alpha and numerical data that verified and corrected important information and insurance coverage for each patient.
• Organized and prepared mass mailings of over 300 documents sent to customers during open enrollment periods.
EDUCATION& PROFESSIONAL DEVELOPMENT
• Completed company-sponsored Billing & Coding trainings - Carefirst Blue Cross Blue Shield
- Professional development courses covering a broad range of content areas including: health insurance
essentials, ethics and compliance, problem resolution, and communications and writing skills.
- Certified in ADE (Defibrillator) training
• Strayer College, Washington, DC, Completed one year of Business Courses
• National Business School, Alexandria, VA, Computer Courses
• Central Penn Business School, Summerdale Pa, Court and Conference Reporting
JOYCE L. TIMMONS
Home: ------------ Cell: ------------ ------------ Suitland, MD 20746
October, 2019
Dear Human Resource Professional:
Please accept this letter and attached resume as I apply for the Medical Claims Processor or Data Specialist position within your company. You will find that my experience and skills align well with the qualifications of the position. I have over 10 years of well-versed experience in payment processing, patient customer service, billing, account reconciliation, claims analysis, and data entry. I am confident that after reading my resume, you will find me worthy of consideration.
After a shift in the claims management department, my position was eliminated causing an unexpected separation from a reputable company. I am ready and eagerly seeking a position aligned with my professional skills as well as one that will allow me to learn new skills while I earn pertinent certification. Previous employment has afforded me a well-rounded skill set and has prepared me to work in various environments. Here are a few highlights of my qualifications:
• Comfortable working in a in high-volume work environment that is dependent on strong medical service
orientation, accuracy, productivity, quality service, and multi-tasking.
•Processed over 100 health insurance claims daily and generated payments for a team of 150 claim processors.
• Well-versed transferable skills that can be utilized in various medical office settings and work environments.
• Streamline workflow, ensure administrative effectiveness, and optimize internal support performance.
• Possess strong skills in billing software and Microsoft Word & Excel; able to learn systems quickly.
• Effective team collaboration; works well on a team or independently, needing little or minimal supervision.
If you see a match in your hiring needs and my skills, please do not hesitate to contact me for a phone or in person interview. Thank you for your attention, time and forthcoming response.
Best Regards,
JOYCE L. TIMMONS
Attachment: Resume
JOYCE L. TIMMONS
Home: ------------ Cell: ------------ ------------ Suitland, MD 20746
CAREER FOCUS
A focused, accurate, and highly productive professional seeks a position where developed skills and experience will lead to a medical billing position. Extensive experience in claims processing, payments, and quality assurance for individuals and large institutions in the health insurance industry. Accustomed to high volume work environments dependent on strong service orientation, professionalism, a high level of responsibility, flexibility, and multi-tasking.
SUMMARY OF QUALIFICATIONS
Medical Billing ? Claims Processing ? Payment Discrepancies Research • Coding Systems •Payment Posting •Patient/Customer Service• Data Entry • Account Reconciliation • Electronic Medical Records
? Patient Registration • Multiple Project Managing • Total Care Management • Business Office/Clerical Procedures
RELATED PROFESSIONAL EXPERIENCE
CAREGIVER, HOME HEALTH CARE, (Private Care) - Bowie, MD •10/2012 – 9/2019
• Provided attentive direct care to a terminally-ill patient; assisted with daily living skills including transporting, hygienic care, dressing, and feeding.
• Maintained and updated records of patients’ progress and health condition.
• Discussed patients’ behavioral changes with immediate family members.
• Administered oral medications as per doctor’s instructions.
• Assisted patient and accompanied patient to the activity center for daily exercises.
CAREFIRST BLUE CROSS BLUE SHIELD, Washington, DC •1995 - 2012
CLAIMS PROCESSOR II • (1998– 2012)
• Processed over 100 health insurance claims daily and generated payments for a team of 150 claim processors reporting directly to Claims Management.
• Eliminated monthly delays in processing rates by 5% for over 6,000 claims by reviewing system edits for errors and forwarding to proper department for corrections.
• Selected by management to train and mentor 5+ temporary associates hired to assist with data entry processes for backlog of overdue claims.
• Achieved Quality Gold cup award for reaching 98% of objective in reducing patient claim errors by identifying oversights and miscalculations of payments and verifying accuracy of each claim. Awarded 3 times during tenure. Communicated with doctors and nurses regarding patient insurance eligibility and policy coverage and responded to telephone and written inquiries from physicians and customers which resulted in expedited payment processes and ensured accuracy.
JOYCE L. TIMMONS •PAGE 2
CAREFIRST BLUE CROSS BLUE SHIELD, Washington, DC •1995 - 2012
DATA SPECIALIST• (1995 – 1998)
• Coordinated, researched and responded to inquiries and / or complaints from members, providers and employers, as well as the MD / DC / VA Insurance regulatory agencies.
• Furthered response time to customer inquiries 25% by creating multiple subject response letter templates used by data specialists which improved the efficiency of the department and increased customer service.
• Active participation on a team that coordinated the total care management activities for 2 large inpatient institutions; Howard University and Children's Hospital. Verified benefits of acute and alternative levels of care for insurance claims processing.
• Updated and ensured accuracy of patient files processing both alpha and numerical data that verified and corrected important information and insurance coverage for each patient.
• Organized and prepared mass mailings of over 300 documents sent to customers during open enrollment periods.
EDUCATION& PROFESSIONAL DEVELOPMENT
• Completed company-sponsored Billing & Coding trainings - Carefirst Blue Cross Blue Shield
- Professional development courses covering a broad range of content areas including: health insurance
essentials, ethics and compliance, problem resolution, and communications and writing skills.
- Certified in ADE (Defibrillator) training
• Strayer College, Washington, DC, Completed one year of Business Courses
• National Business School, Alexandria, VA, Computer Courses
• Central Penn Business School, Summerdale Pa, Court and Conference Reporting