CSR Billing Office Resume Example Company Name

CSR BILLING OFFICE

Summary

Motivated and dedicated individual with years of expertise in client relations and customer support. Bringing a strong work ethic and excellent organizational skills to any setting. Skilled and collaborative team player Excited to begin new challenge with a successful team with opportunities for growth.

Skills

Strong administrative and interpersonal skills
Ability to handle multiple conflicting priorities simultaneously.
Excellent communication, time management, and organizational skills.
An effective problem solver at a fast pace and aggressive environment.

Ability to coordinate projects and work independently, as well as being a good team player.
Highly motivated to achieve set goals.
Remain calm and work well under demanding conditions.
MS Office, Gammis, Gateway, STAR and OneContent.

Experience

CSR Billing Office 10/2019 to CurrentCompany NameCity, State

Work closely with Billing, Reimbursement, Collections and other departments to resolve problems with patients' accounts while identifying and referring audits.
Proactively maintain quality control, satisfaction records, and constantly seeking new ways to improve customer service while performing follow-up on all referrals to ensure accounts are rebilled or adjusted.through STAR and OneComtent systems.
Effectively communicate using customer-friendly and appropriate language, to explain customer bills, EOB's, payment issues and handle billing disputes consistent with Northside Hospital standards, taking between 38-45 calls per day. Process financial surveys for accessing approval for patients to help with assistance with paying hospital bills.
Collect payments by credit card, research accounts for attorneys as necessary for tax purposes and court cases. Mail and fax requested itemized bills and UBO4's to patients and insurance companies.

Resolution Specialist01/2018 to 10/2019Company NameCity, State

Monitored and fostered ongoing communications with government agencies regarding the status of medical claims.
Documented and updated internal database based on daily contact of select members of the assigned applicant group and application evidence requirements, ie employment and salary verification, medical history, work activity, life, and health insurance information, and demographic data financial and documentation where evidence is required.
Answer incoming calls from internal and external customers, assisting in resolving account issues by identifying and taking appropriate actions including completing required forms.
Reviewed inbox for daily work queues, identified missing evidence and followed through completion.
Successfully worked on and completed special cases assigned by leadership in a timely fashion.
Performed full research to check claims and possible solutions to individual issues.
Responded to e-mails from customers and caseworkers requesting status updates.
Complied with ethics, privacy, and compliance policies and procedures.
Assisted teammates when needed to help with backlogged cases.

Claims Associate-Express 11/2016 to 01/2018Company NameCity, State

Handled inbound calls to report, review, and resolve claims.
Interviewing customers and updated facts of loss to determine liability decisions.
Explaining liability decisions, policy coverages, and claims process expectations to both the companies insured and claimants.
Requesting, reporting c=documents to update and resolve claims.
Review estimates and invoices to ensure the release of proper payments incorrect amounts and to correct parties.
Keeping open communications between Agents, auto body shops, adjusters, and tow dispatchers.
Successfully completed timed tasks of processing mail, auditing estimates and making payments based on hourly expected quotas at 98%.

Case Manager09/2008 to 11/2016Company NameCity, State

Interviewing, processing, monitoring, and reviewing recipients for state programs for Food Stamps, Medicaid and TANF; by phone and face-to-face.
Educate clients on appropriate legalities, changes, regulations,rights, and responsibilities while improving the flow of information using multiple screens to maintain orderly data entry.
Research public records, legal documents, and other appropriate sources to verify income, property, residency, and other eligibility factors and answer client inquiries while resolving any concerns.
Initiated problem solutions by clarifying client issues and acting as a calming influence with clients facing life-altering issues using compassion, tact, and empathy.
Scheduled appointments while maintaining ongoing caseloads generally consisting of 175+ cases per month.
Team player, adapted easily to change, ability to work independently in a timely fashion, and perfect attendance record.
Processed applications, renewals, and submitted verification in COMPASS and SUCCESS, while keeping updated records to be uploaded into Oracle UCM

Education and Training

High School Diploma05/1989Fairfax High SchoolCity

Some College (No Degree)Morris Brown CollegeCity, State

Resume Overview

School Attended

Fairfax High School
Morris Brown College

Job Titles Held:

CSR Billing Office
Resolution Specialist
Claims Associate-Express
Case Manager

Degrees

High School Diploma 05/1989
Some College (No Degree)

CSR Billing Office Resume Example

Resume Score: 80%

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