Terrie Le Ann Hurst
Everton
Summary
Experienced healthcare and insurance professional dedicated to exceeding employer expectations and boosting company morale. Skilled in multiple areas of the industry, I am a fast learner ready to drive success through strong team collaboration, adaptability, and commitment to achieving goals. Seeking a challenging role to apply my talents and acquire new skills.
Overview
14
14
years of professional experience
Work History
Insurance Producer
Bowles Insurance
08.2023 - Current
- Conducted thorough needs assessments for prospective clients, identifying gaps in their current coverage plans.
- Increased client satisfaction by providing personalized insurance solutions tailored to individual needs.
- Adhered to all regulations for insurance sales.
- Maintained up-to-date knowledge of industry trends and regulations, ensuring compliance in all transactions.
- Provided detailed information about company insurance products.
- Conducted regular follow-ups with existing clients to review coverage needs and suggest appropriate adjustments.
- Implemented marketing strategies to generate new leads and expand the client base.
Liability Claims Adjuster
American National Insurance Company
02.2021 - 08.2023
- Maintained detailed records for each claim, ensuring accuracy and completeness for future reference and audit purposes.
- Established rapport with policyholders through clear communication, empathy, and professionalism during difficult circumstances.
- Trained new adjusters on company policies and procedures, contributing to a well-prepared team of professionals.
- Reduced claims processing time by implementing efficient workflow strategies and prioritizing tasks.
- Saved company resources by negotiating cost-effective settlements with medical providers for injury-related expenses on behalf of insured clients.
- Resolved disputes effectively through mediation efforts between involved parties as an alternative to litigation when possible; reducing costs associated with lengthy court proceedings.
- Provided valuable feedback during regular meetings; offering suggestions for improving departmental efficiency which were often implemented.
Admissions Coordinator
Springfield Rehabilitation and Healthcare
08.2019 - 02.2021
- Facilitate admission process from beginning to end for all Rehabilitation and Long Term Care residents.
- Obtain insurance authorization as needed.
- Verify all medical benefits.
- Assist with social services duties.
- Work closely with care givers and family of potential residents providing financial information and planning.
Claims Adjuster
United Health Care
01.2016 - 08.2019
- Make appropriate claim decisions based on various contracts and plan provisions.
- Including evaluation of claim per plan provisions, determination of eligibility, verification of data input, identification of correct benefit level, calculation of fee schedule, and performing claim corrections.
- Make outgoing phone calls to verify or obtain information regarding a claim to ensure timely processing.
- Verify online documentation.
- Consistently meet or exceeded company set goals on volume and quality.
Registration Specialist
Patient Registration
11.2013 - 05.2015
- Answer high volume of inbound calls to correctly register and schedule Dr. Office visits for 50+ physicians according to their individual rules and guidelines.
- Provide Superior customer service.
- Listen intently to new patients to obtain information needed to correctly place them with a physician.
- Meet department set quota of calls taken, length of calls, and accuracy of job performed.
- Verify and correct any returned claims related to insurance coverage.
- Contact and work directly with insurance companies to verify eligibility and plan coverage.
ER Unit Secretary/ EMCT
Cox South Emergency Department
02.2011 - 10.2013
- Assisted in the maintenance of medical charts and/or electronic medical record (monitored timely return of lab, radiology, and other diagnostic testing).
- Meticulously identified and rectified inconsistencies, deficiencies and discrepancies on physician orders.
- Adeptly managed a multi-line phone system and pleasantly greeted all patients.
- Entered orders into the EMR system efficiently and without errors.
- Maintained strict patient and physician confidentiality.
- Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
- Performed direct patient care aimed at increasing comfort, psycho, social and spiritual well-being by providing assistance with personal hygiene, physical comfort, nutrition, elimination, prevention of skin breakdown, rehabilitation and safety.
- Took advantage of opportunities for continuing education, quality assurance and performance improvement Activities.
- Monitored vital signs, such as blood pressure and pulse.
- Tested and recorded blood glucose levels.
- Changed sterile dressings.
- Helped patients move in and out of beds, baths, wheelchairs and automobiles.
- Performed procedures and uses equipment as delegated by a licensed professional, including blood draws, Foley catheter removal and EKGs.
- Supported diagnostic procedures, assisted with technical nursing treatments and entered information in patient records and charts.
- Enhanced patient care by efficiently assessing and addressing medical emergencies in high-pressure situations.
- Improved patient outcomes by administering appropriate treatments based on thorough assessments of vital signs, physical conditions, and medical histories.
- Continuously improved skills through regular training sessions, workshops, conferences, and staying up-to-date on industry best practices.
- Maintained levelheadedness and efficiency in high-pressure situations, effectively prioritizing tasks to save lives and provide medical care.
Education
Associate of Arts - Information Management
Ozarks Technical Community College
Springfield, MO01.2010
Skills
- Experienced with Microsoft Office applications
- Collaborative team development
- Excel data analysis skills
- Inventory management
- Electronic medical record systems
- CPT code proficiency
- Insurance Verification
- Medical Scheduling
- Cultivating effective relationships
- Medical Records
- ICD-10
- Sales proficiency
- Underwriting principles
- Claims handling
- Insurance products
- Licensed in Missouri
- Licensed insurance agent
- Quotes and sales
- Customer follow-up
- Licensed in Missouri
- Client account management
- Medical Billing
- Strong organization
- Data verification
- Client relations
- Medical admissions processes
- Rapport building
Additional Information
- Skills
- 50 WPM typing speed
- Critical thinker
- Professional phone etiquette
- Administrative support specialist
- Excellent communication skills
- Multi-line phone proficiency
- Customer service-oriented
- Pleasant demeanor
- HIPAA compliance
- Accurate and detailed
- Current Missouri State Licensee as a Property and Casualty, Health and Life Insurance producer.
Timeline
Insurance Producer
Bowles Insurance
08.2023 - Current
Liability Claims Adjuster
American National Insurance Company
02.2021 - 08.2023
Admissions Coordinator
Springfield Rehabilitation and Healthcare
08.2019 - 02.2021
Claims Adjuster
United Health Care
01.2016 - 08.2019
Registration Specialist
Patient Registration
11.2013 - 05.2015
ER Unit Secretary/ EMCT
Cox South Emergency Department
02.2011 - 10.2013
Associate of Arts - Information Management
Ozarks Technical Community College
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