Taylor Hillard
Pittsburgh
Summary
Dedicated team player adept at managing customer service and claims processing for policyholders. Looking for a long-term position with a growth-oriented company.
Overview
6
6
years of professional experience
2018
2018
years of post-secondary education
Work History
Claims Representative
Highmark Blue Cross Blue Shield
Pittsburgh
11.2023 - 07.2025
- Processed claims efficiently using proprietary claims management software.
- Reviewed claim documents for accuracy and completeness before submission.
- Communicated with clients to gather necessary information for claims processing.
- Coordinated with insurance adjusters to resolve claim disputes and inquiries.
- Maintained up-to-date records of claims using internal database systems.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Collected payments, processed receipts and informed policyholders of outstanding balances.
Dental Insurance Coordinator/Executive Assistant
University of Pittsburgh
Pittsburgh
11.2022 - 11.2023
- Perform file system and database management
- Take messages and manage a multi-line phone to handle calls
- Process medical insurance claims and patient billing
- Schedule staff meetings
- Handle faxes and mail
- Prepare reports, invoices and memos
- Schedule appointments and surgeries, send appointment reminders and make follow-up calls or generate emails
- Processing initial credentialing and re-credentialing applications
- Screening practitioners' applications and supporting documentation to determine eligibility
- Collecting information from the National Practitioner Data Bank (NPDB), the applicant, and their malpractice insurer, and other relevant sources
- Updating internal billing databases, electronically storing patients' records, filing registration forms, analyzing insurance claims, detecting coding errors, and verifying medical coverage. Entering the CPT codes and ICD-9's & 10s in surgery forms for scheduled patients. Processing payments from patients before surgery.
- Negotiated contracts with insurers on behalf of the dental practice in order to maximize reimbursement rates.
Administrative Assistant
UPMC
Pittsburgh
06.2019 - 07.2022
- Developed 100+ corporate documents for Physicians, Residents and Fellows
- Organized 12+ weekly meetings and 50+ appointments
- Collaborated in 23 company initiatives and goals by offering support to physicians and co-workers
- Systematized and overhauled 4 filing systems of paper and electronic documents in EHR Systems
- Managed calendars of the executive team and coordinated weekly team-wide meetings for over 40 people
- Worked as a liaison and point of communication between 12 executives , 6 physicians and 20+ staff members
Education
Penn Hills High School
Pittsburgh, PASkills
- Claims processing
- Coding accuracy
- Insurance claim management
- Database management
- Billing administration
- Record keeping
- Customer relationship management
- Attention to detail
- Time management
- Insurance claims review
- Documentation processing
- Claims adjustment
- Task prioritization
Timeline
Claims Representative
Highmark Blue Cross Blue Shield
11.2023 - 07.2025
Dental Insurance Coordinator/Executive Assistant
University of Pittsburgh
11.2022 - 11.2023
Administrative Assistant
UPMC
06.2019 - 07.2022
Penn Hills High School