Natalie Davis has over 10 years of experience in customer service and healthcare billing. She has an Associate's Degree in Humanities and Social Sciences. Her most recent role was as a Medical Claims Processor and Customer Service Representative where she was responsible for receiving, analyzing, and adjudicating medical claims using various coding systems. Prior to that, she worked as a Customer Service Representative for Emblemhealth providing assistance to Medicare customers, and as a Medical Biller at Winthrop University Hospital handling billing functions.

1. NATALIE DAVIS (718) 749-4527
LinkedIn Profile: https://www.linkedin.com/pub/natalie-davis/2a/483/98b
natalieludmilladavis@yahoo.com
PROFESSIONAL SUMMARY
Over 10 years of customer service and healthcare billing experience. I am a diligent self-starter, willing to
assist in many areas of the unit. Recognized for ability to work in a high-volume and deadline-orientated
environment. The ability to work as part of a team, as well as work independently with minimal supervision is
one of my strengths. Demonstrated ability to absorb, retain and effectively utilize a wide range of
information regarding policies and procedures. Maintains strictest confidentiality; adheres to all rules and
regulations; experienced in relaying sensitive information.
EDUCATION
Associates Degree in Humanities and Social Sciences 2003
Nassau Community College – Garden City, NY
SKILLS SUMMARY
• Strong Attention to Detail
• Conflict Resolution Skills
• Detailed Recordkeeping
• Customer Service Oriented
• Research, Writing and Organizational Skills
• Confidential and HIPAA Compliant
• End Stage Renal Disease (ESRD) Specialist
• Expertise in Dialysis Medicare System Applications:
Coordination of Benefits (COB) and REMIS
• Proficient in Microsoft Word, Excel, Outlook, ISSI,
DocuWare, and EncoderPro
EXPERIENCE
Medical Claims Processor and Customer Service Representative January 2014 - Present
Local 1102 RWDSU
Responsiblefor receiving, analyzing and adjudicating medical and institutional claims.
 Profound knowledge of codes applicable in CPT, HCPC, Revenue and ICD-9 systems.
 Complete understanding of all eligibility verification processes and COB.
 Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and
provider disbursements.
 Compile all medical records needed for staff physician review to determine approval.
 Analyze and reconcile total payouts regarding subrogation.
 Authorized to process facility claims payouts up to $100,000.
 Provide timely customer service to members, providers, and other insurance companies on the subject of
claims.
 Resolve related issues to claim adjudication and queries as received.
Customer Service Representative January 2007 – April 2013
Emblemhealth Medicare Coordination of Benefits – New York, NY
Provided health insurance customers with professional service and assistance in specialized unit; quickly learned and excelled in
using Medicare system applications, such as Renal Management Information Systems (REMIS).
 Answered incoming calls and provided customer service relating to Medicare; updated customers’ records
promptly and efficiently.
 Met departmental goals for production and accuracy; maintained daily standards for call quality, length
and quantity.

2.  Demonstrated problem solving and active listening skills; diffused difficult customer issues with tact and
ease.
 Maintained cooperative and positive working relationships with department personnel, beneficiaries,
providers, attorneys and Medicare departments.
 Trained and coordinated other staff on End Stage Renal Disease (ESRD) procedures.
 Successfully completed all specialprojects assigned by supervisor or manager.
Medical Biller July 2004 – January 2007
Clinical Practice Billing at Winthrop University Hospital – Mineola , NY
Billing functions for the Cardiovascular, Thoracic Surgery & Critical Care Intensive units. Handled data provided by the
medical coders and used it to compile/submit claimsto insurance companiesand then subsequently bill patients.
 Collected, posted and managed account payments; responsible for submitting claims and following up
with insurance companies.
 Handled information about patient treatment, diagnosis and related procedures to ensure proper coding.
 Responsible for all rejections, denials, appeals and edits for commercial carriers.
 Handled monthly reconciliation for the entire department; oversaw daily Medicare tape remittance
reconciliation.
 Resolved customer inquiries, complaints and billing questions.
 Ensured daily entry and reconciliation of payments; monitored third party payment activities.
 Reported internal inconsistencies and provided weekly statusreports to manager.