LiveCareer-Resume

customer service billing specialist resume example with 8+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Cheerful and upbeat customer service billing specialist with history of exceeding customer and patron expectations. Calm and composed in stressful situations with successful record of reducing customer dissatisfaction through acknowledgment, decisive communication and focused solutions. Expert at finding win-win solutions. Detail-oriented approach to resolving medical collections and health insurances.

Skills
  • Medical billing and collections
  • Billing dispute resolution
  • Audit procedures
  • Medical transport billing
  • Coding proficiency
  • Interest calculations
  • Bill payment
  • Debt management
  • Claims processing
  • Accounts receivable expertise
  • Check processing
Experience
Customer Service/Billing Specialist, 01/2020 - Current
Snap-On Tools Libertyville, IL,
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Scheduled patients in Imagine system and updated pertinent details related to insurance, payment histories and personal or confidential information.
  • Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
  • Calculated figures such as discounts, percentage allocations and credits.
  • Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
  • Loaded billing data into systems through data import, scanning or manual keying, to verify complete and accurate client invoices from vendors.
  • Assisted customers with invoice questions, special invoicing, reporting, corrections and write-offs and resolved customer issues discovered during invoicing and collection process.
  • Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
  • Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
  • Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
  • Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
  • Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments.
Medical Collections/Patient Representative, 03/2018 - 11/2019
Jane Pauley Community Health Center Indianapolis, IN,
  • Resolved interpersonal conflicts by listening, finding common ground and building relationships.
  • Performed site evaluations, customer surveys and team audits.
  • Recognized by management for providing exceptional customer service.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Methodically resolved active claims by analyzing possible discount violations, PODs, shortages, returns and related advertising.
  • Oversaw disputes resolution and reconciliation for 80% client accounts.
  • Minimized loss by negotiating payment terms directly with clients, consistently achieving 90% recovery rate.
  • Demonstrated leadership by making improvements to work processes and helping to train others.
Customer Service Representative, 08/2016 - 03/2018
Sedgwick Healthcare City, STATE,
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Set up and activated customer accounts.
  • Assessed customer needs and upsold products and services to maximize sales.
  • Reviewed account and service histories to identify trends and issues.
  • Assessed customer account information to determine current issues and determine potential solutions.
  • Delivered service and support to each customer, paving way for future business opportunities.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
Collector/Customer Service Representative, 07/2012 - 08/2016
Dr. Nacos City, STATE,
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Assessed customer needs and upsold products and services to maximize sales.
  • Set up and activated customer accounts.
  • Documented conversations with customers to track requests, problems and solutions.
  • Reviewed account and service histories to identify trends and issues.
  • Made outbound calls to obtain account information.
Patient Service Representative, 04/2012 - 07/2014
Country Villa City, STATE,
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Provided consultations for patients about rights and services.
  • Checked daily doctor schedules and verified insurance.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Referred patients to appropriate professionals and services.
  • Met with patients and their families to discuss medical procedures, medications, treatments and continuing care plans.
  • Checked claims for errors, corrected issues and mailed out promptly.
  • Answered patient questions and fielded complaints.
  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
Education and Training
Associate of Science: Healthcare Administration Management , Expected in 07/2012
-
San Joaquin Valley College - Hesperia, CA
GPA:
Status -
  • 2.60 GPA
Bachelor of Science: Health Administration, Expected in 01/2022
-
University Of La Verne - La Verne, CA
GPA:
Status -
  • 3.89 GPA
  • Major in Healthcare Asministration

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Resume Overview

School Attended

  • San Joaquin Valley College
  • University Of La Verne

Job Titles Held:

  • Customer Service/Billing Specialist
  • Medical Collections/Patient Representative
  • Customer Service Representative
  • Collector/Customer Service Representative
  • Patient Service Representative

Degrees

  • Associate of Science
  • Bachelor of Science

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