Raquel Trimble
Atlanta
Summary
Versatile specialist with a results-driven approach seeking opportunities to expand skills and facilitate company growth.
Overview
11
11
years of professional experience
Work History
Billing and Follow-up Specialist
ProMedica
02.2023 - Current
- Review and resolve billing claim edits
- Research and analyze claim denials, rejections, and other billing issues
- Place outbound calls to CMS to obtain reason for denied claims
Insurance Verification Coordinator
Wakefield
10.2020 - 01.2023
- Verified and added health insurance coverage to patients’ accounts
- Initiated billing on claims after coverage has been added
- Documented accurate notes in client and internal system patient files
Customer Service Representative
Elixir Solutions
04.2016 - 09.2020
- Resolved rejected pharmacy claims
- Placed outbound calls to Medicare regarding COB issues
- Answered questions regarding members' Explanation of Benefits (EOB), plan deductible, and co-pay
- Mentored new hires
Insurance Follow-Up Representative
Avalon Healthcare Solutions
05.2013 - 02.2016
- Investigated and resolved rejected insurance claims
- Contacted insurance companies for claim status
Education
Healthcare Services Administration
Strayer University
06-2026
Skills
- Telephone Etiquette
- Computer literacy/typing skills
- Problem-solving skills
- Ability to work with little to no supervision
- Verbal and written communication skills
- Detail-oriented
- Understanding of medical terminology
- Task Prioritization
- Time Management
- Teamwork and Collaboration
Accomplishments
Elixir Solutions
• Recognized as "Most Valuable Player" for outstanding performance
Timeline
Billing and Follow-up Specialist
ProMedica
02.2023 - Current
Insurance Verification Coordinator
Wakefield
10.2020 - 01.2023
Customer Service Representative
Elixir Solutions
04.2016 - 09.2020
Insurance Follow-Up Representative
Avalon Healthcare Solutions
05.2013 - 02.2016
Healthcare Services Administration
Strayer University
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