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Stephanie Anderson

Charlotte, NC

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Accomplished Healthcare and Insurance professional is seeking to obtain a position that will leverage my strong organizational, provider relations, healthcare reimbursement/billing, and insurance sales experience that will lead to a lasting relationship within your organization.

Work Experience

Insurance Sales Agent

Allen Tate Insurance
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Charlotte, NC
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2013 to 2014

Customize insurance programs to suit individual customers, often covering a variety of risks. 
• Sell various types of insurance policies to businesses and individuals on behalf of insurance companies, including automobile, fire, life, property, medical and dental insurance or specialized policies such as marine, farm/crop, and medical malpractice. 
• Inspect property, examining its general condition, type of construction, age, and other characteristics, to decide if it is a good insurance risk. 
• Seek out new clients and develop clientele by networking to find new customers and generate lists of prospective clients. 
• Provide mentorship and training to many of the new agents, based on my leadership, performance, thorough company product knowledge and experience. 
• Consistently in the top ten producing agents during promotion months in a branch of over seventy agents.

Insurance Sales Representative

AAA
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Cordova, TN
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2011 to 2013

Contacted policyholders and potential clients to deliver and explain policy, to analyze insurance program and suggest additions or changes, or to change beneficiaries. 
• Conducted market surveys for gathering information about customers' choices and preferences regarding insurance products and ongoing market trends in insurance industry. 
• Represented organization at meetings with businesses and trade associations and promoted company's insurance policies/products. 
• Customized insurance programs to suit individual customers, often covering a variety of risks. 
• Maintained 98% closing ratio and 97% retention rate on all business written.

Licensed Sales Agent

State Farm
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Memphis, TN
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2010 to 2011

Sold various types of insurance policies to businesses and individuals, including automobile, fire, life, property, and medical insurance. 
• Generated new leads from field activity and actively followed up on referrals. 
• Achieved sales targets on a month-by-month basis. 
• Performed benefit analysis to determine coverage amounts necessary to protect clients' health and assets. 
• Maintained 98% closing ratio and 97% retention rate on all business written.

Lead Youth Services Coordinator

Cannon YMCA
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Concord, NC
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2008 to 2010

Maintained ongoing communication with parents regarding children's activities, behavior, and development, and respond to all parents concerns as they arise. 
• Developed and implemented curriculum. 
• Planned activities that would stimulate growth in language, social and motor skills. 
• Provided children with individual attention. 
• Managed daily operations, including a staff of 5 employees.

Sr. Reimbursement Specialist

Baker Medical Group
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Birmingham, AL
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2007 to 2008

Verified that all appropriate reimbursement paperwork had been obtained, completed and accurate prior to billing. 
• Ensured that the practice adhered to and enforced JCAHO and OSHA standards relating to the physician office practice of medicine. 
• Monitored the submission of timely, accurate and complete billing information to the business office to ensure the maximization of professional services reimbursement. 
• Researched disallowance reports for unusual reimbursement practices and updated, changed, or deleted codes and charges determined to be ineffective, unprofitable and/or obsolete. 
• Contacted insurance payors and/or patients on aged/delayed claims for proper resolution.

Billing Quality Control Coordinator

AEL
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Memphis, TN
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2006 to 2007

Performed daily reviews on assigned records to validate ICD-9-CM codes, DRG grouping appropriateness, and missed secondary diagnoses and procedures. 
• Monitored data for coding compliance. 
• Conducted client meetings and /or engage billing client representative to train /retrain on appropriate procedures to improve client quality data submission. 
• Served as liaison between the physician practice and other clinical and administrative components of American Esoteric Labs to ensure billing compliance.

Casualty Claims Representative

Nationwide Insurance
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Memphis, TN
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2005 to 2006

Investigated, evaluated reserve, negotiated, and settled assigned claims in accordance with Corporate Best Practices. 
• Provided quality claim handling and superior customer service on assigned claims while engaging in indemnity and expense management. 
• Established and authorized reserves and claims payments within the delegated authority.

Claims Billing Specialist

Consultants Practice Resources
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Charlotte, NC
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2003 to 2005

Reviewed all government payers (Medicare, Medicaid, etc) and commercial denials, making any necessary corrections in claims and refilling the claims. 
• Interpreted and resolved claim rejections, insufficient payments and unpaid claims from multiple insurance companies. 
• Followed up on all claims pending for review purposes and additional information to research and resolve claims. 
• Posted timely claims adjustment request, denials and payments.

Billing Quality Control Coordinator

LabCorp
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Charlotte, NC
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2002 to 2003

Researched, analyzed, and established problem resolution techniques to identify the root cause and recommended consistent quality improvement solutions. 
• Performed monthly comparative analysis and profiling of health care providers and consumers. 
• Work with relevant departments to obtain medical record documentation for coding. 
• Analyze and review medical records for completeness and accuracy of documentation according to specified standards.

Reimbursement Consultant

The Lash Group
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Charlotte, NC
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2001 to 2002

Contacted insurance companies to gather policy benefits/limitations (e.g., deductible amount, co-payment, effective date, pre-existing clauses, levels of care, pre-authorization requirement, visit limitations, documentation required to process claims, etc.). 
* Reviewed benefits/services requested to determine whether coverage is available for insurance payment; input data regarding insurance company requirements for claims processing, correct billing address, special claim forms, etc. 
* Maintained and updated information on insurance accounts; determined primary payer and coordinate multiple billings for clients with multiple providers. Kept detailed accurate records to ensure proper account billing. 
* Reviewed invoices before distribution and pursued collection activities to ensure receivables (invoices) are reimbursed accurately and timely.

Senior Provider Representative

Nationwide Health Plans
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Columbus, OH
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1996 to 2001

Assisted in the recruitment and credentialing of new and existing providers. 
* Maintained accurate and current provider database relating to facilities and physician information. 
* Assisted with policy and procedure interpretation, assessment of training needs and development and implementation of training programs. 
* Maintained an assigned territory of 27 counties and 1800 providers.

Education

Bachelor of Science in Biology

Jackson State University

1991