Summary
Overview
Work History
Education
Skills
Timeline
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Susan Pelc

Mountain View

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

32
32
years of professional experience

Work History

Medical Biller

Ozarks Healthcare
West Plains
04.2024 - 07.2025
  • Process medical claims using electronic billing systems.
  • Review patient data for accuracy and completeness.
  • Communicate with insurance companies regarding claim status.
  • Resolve billing discrepancies through effective problem-solving.
  • Collaborate with healthcare providers to gather necessary documentation.
  • Assist patients with billing inquiries and payment options.
  • Document all billing activities in the system accurately.
  • Submitted electronic claims to various insurance carriers.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.

Health Educator

Florida Dept of Health, Breast & Cervical Cancer
New Smyrna Beach
01.2023 - 03.2024
  • Facilitated workshops to promote early detection and prevention strategies.
  • Collaborated with healthcare providers to enhance patient education resources.
  • Coordinated health screenings in partnership with local organizations and clinics.
  • Maintained accurate records of program participation and community interactions.
  • Monitored progress of patients participating in ongoing programs aimed at improving their overall wellbeing.
  • Performed outreach activities within the community such as door-to-door visits or school presentations designed to promote healthy habits.

Senior Clerk Specialist

Florida Dept of Health, Breast & Cervical Cancer
New Smyrna Beach
10.2017 - 01.2023
  • Processed patient records for breast and cervical cancer screenings.
  • Assisted in data entry for reporting cancer screening outcomes.
  • Maintained confidentiality of sensitive health information and records.
  • Completed daily clerical tasks to support smooth operations.
  • Restocked office supplies and placed orders for new items.

Senior Clerk Specialist

Florida Dept of Health, Dental
Daytona Beach
06.2017 - 09.2017
  • Entered dental services in HMS to be processed
  • Process pre-authorizations

Senior Clerk

Florida Dept of Health, Dental
Daytona Beach
08.2015 - 06.2017
  • Assisted in scheduling patient appointments and managing calendars.
  • Processed patient dental records efficiently and accurately.
  • Managed incoming communications, directing inquiries to appropriate staff members.
  • Verified insurance

Accounts Payable/Accounts Receivable Clerk

Aqua Sun Investments
Ormond Beach
06.2011 - 08.2015
  • Process vendor invoices for timely payment and accurate record-keeping.
  • Reconcile accounts payable and receivable to maintain financial accuracy.
  • Utilize accounting software to track and report financial transactions.
  • Prepared checks for vendors in a timely manner.

Office Manager

Quick Cut Lawn Care Inc.
Port Orange
05.2003 - 01.2011
  • Managed office supplies and inventory to ensure smooth daily operations.
  • Assisted in budgeting processes by tracking expenses and invoices.
  • Maintained filing system for records, correspondence and other documents.
  • Answered phone calls, responded to emails, routed mail and coordinated courier services.
  • Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
  • Payroll
  • Quarterly Reports

Administrative Secretary

Florida Dept of Financial Services
Daytona Beach
01.1994 - 05.2003
  • Organized and maintained filing systems to ensure efficient document retrieval and storage.
  • Processed incoming mail and distributed it to appropriate personnel promptly.
  • Answered phones, responded to inquiries, and directed calls appropriately.
  • Organized and maintained confidential files and records.
  • Provided administrative support to the executive team including filing, faxing, photocopying, scanning documents.
  • Scheduled appointments, managed calendars, and organized events.

Education

High School Diploma -

Spruce Creek High School
Port Orange, FL
06-1985

Skills

  • Electronic billing
  • Claim processing
  • Medical records management
  • HIPAA compliance
  • Patient communication
  • Insurance verification
  • Problem solving
  • Attention to detail
  • Team collaboration
  • Time management
  • Customer service
  • Multitasking and organization
  • Accounts receivable

Timeline

Medical Biller

Ozarks Healthcare
04.2024 - 07.2025

Health Educator

Florida Dept of Health, Breast & Cervical Cancer
01.2023 - 03.2024

Senior Clerk Specialist

Florida Dept of Health, Breast & Cervical Cancer
10.2017 - 01.2023

Senior Clerk Specialist

Florida Dept of Health, Dental
06.2017 - 09.2017

Senior Clerk

Florida Dept of Health, Dental
08.2015 - 06.2017

Accounts Payable/Accounts Receivable Clerk

Aqua Sun Investments
06.2011 - 08.2015

Office Manager

Quick Cut Lawn Care Inc.
05.2003 - 01.2011

Administrative Secretary

Florida Dept of Financial Services
01.1994 - 05.2003

High School Diploma -

Spruce Creek High School

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