Billing Customer Service Representative Resume Example
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BILLING CUSTOMER SERVICE REPRESENTATIVE
Professional Summary
Knowledgeable and dedicated customer service professional with extensive experience in the medical field industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Skills
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Work History
Billing Customer Service Representative, 01/2013 to 07/2020
Spectrum – Lexington , SC
Spectrum – Lexington , SC
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Worked with office manager and assisted billing manger to properly apply customer remittances.
- Performed targeted collections on past due accounts aged over 90
- Days.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Applied more than 200 payments per week.
- Received, sorted and distributed incoming mail.
- Contacted customers and third party payers to pursue payments.
- Produced and mailed invoices, payment reminders and financial notices.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
- Processed multiple incoming payments and outgoing refunds each week
- Updated Athena spreadsheets with tracking data.
- Generated financial statements and reports detailing accounts receivable status
National Certified Pharmacy Technician, 11/2000 to 12/2007
Kroger – Bothell , WA
Kroger – Bothell , WA
- Processed over 100 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
- Ordered medicines daily to replenish stock and increase inventory in anticipation of need.
- Resolved non-routine issues like third party billing, computer system and customer service issues.
- Coordinated verification and filling of more than 100 daily prescriptions in high-volume retail pharmacy environment.
- Liaised with other pharmacies to eliminate issues related to product expiration.
- Verified patient data and billing information to discover and resolve erroneous bills due to system errors.
- Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
- Stocked, labeled and inventoried medication to keep accurate records.
- Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality.
- Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Provided consultations and answered inquiries from patients, healthcare professionals and physicians regarding drugs, potential side effects and specified use.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
- Assisted pharmacist by filling prescriptions for 100 customers daily and responding to patient questions regarding prescription and medication-specific issues.
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Reviewed and verified customer information and insurance provider information.
- Communicated instructions to patients or caregivers.
- Counted, measured and compounded medications following standard procedures.
- Located and measured medications according to prescription information, making modifications as instructed by pharmacists and providers.
- Counted and labeled prescriptions with correct item and quantity.
- Processed incoming drug orders.
- Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Collected co-payments or full payments from customers.
- Counted, measured, and compounded medications following standard procedures.
- Prepared bills for insurance companies.
- Entered and processed patients' prescriptions into internal system.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Restocked automated medication dispensing equipment.
Medical Technician , 11/1997 to 10/2000
Children's Hospital Of Philadelphia – Haverford , PA
Children's Hospital Of Philadelphia – Haverford , PA
- Maintained patient confidence and protected hospital by keeping information confidential.
- Monitored inventory levels of supplies, equipment and reagents used and placed orders for replacements.
- Trained and mentored students and junior team members in laboratory protocols and compliance standards.
- Collected samples of blood, urine and spinal fluid from patients and performed various laboratory tests.
- Assisted physicians by preparing patients for procedures such as EKGs, phlebotomies, glucose tests and pulmonary functioning tests.
- Interacted with patients and families while demonstrating high standards of performance, teamwork and compassion.
- Used first aid and preventive medical procedures to stabilize critically ill patients.
- Measured patient vital signs such as blood pressure, pulse rate and temperature to record information on patients' charts.
- Identified operational improvements to drive efficiency and quality of care.
- Performed patient service duties by communicating directly with patients, answering questions and assisting with concerns.
- Prepared specimens for testing procedures.
- Entered data accurately on computer, including demographics, grossing descriptions and clinical diagnosis.
- Sterilized instruments and disposed of used or contaminated supplies in adherence to OSHA regulations.
- Tracked and managed inventory for exam rooms and maintained vaccine and expiration logs.
- Communicated with patients and families to obtain patient medical histories and vital information.
Education
High School Diploma: 05/1996
Muscatine High School - City, State
Muscatine High School - City, State
Emergency Medical Technician: Medicine, 12/1996
Muscatine Community College - City
Muscatine Community College - City
USAF Certified Medical Technician: Medicine, 11/1997
Community College of The Air Force - City
Community College of The Air Force - City
No Degree: Pre NursingAustin Community College - City, State
Additional Information
I currently hold the position of treasurer for Boy Scout Troop 2010. I have maintained the troops finances the past three years using Microsoft Excel.
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Resume Overview
School Attended
- Muscatine High School
- Muscatine Community College
- Community College of The Air Force
- Austin Community College
Job Titles Held:
- Billing Customer Service Representative
- National Certified Pharmacy Technician
- Medical Technician
Degrees
- High School Diploma : 05/1996
Emergency Medical Technician : Medicine , 12/1996
USAF Certified Medical Technician : Medicine , 11/1997
No Degree : Pre Nursing
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