Extensive experience in Healthcare industry. Solid team player with upbeat, positive attitude 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, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses. Talented at processing high volumes of error-free transactions and meeting departmental goals. Proficient in managing conversational flow and diffusing difficult customer situations. Quality-focused, offers strong track record over more than 7 years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute. Skilled at increasing profits and reducing operating expenditures through account reconciliations to identify errors in calculations. Expert at processing payments on outstanding invoices to minimize debt and prevent excess fees from being charged. Astute professional dedicated to verifying accuracy of information within ledger to verify accuracy of processed payments.
Responsibilities Reviews and resolve statement, insurance concerns, verifying insurance, process payments, set up payment plans, handles patient balance inquires, self-pay, updates insurance,employee discounts and resubmitting claims to insurance, manages and actively works shared resource box for Tier II . Handle printing and mailing for physician billing staff.
Managed patient accounts, enrollments into patient support program in order to obtain benefits. High-volume call center environment. Communication with patients, insurance companies, providers and prescribers to coordinate reimbursement and access solution. Reviewing and interpreting pharmacy transactions. Completing casework in a timely manner with consistent follow-up as the accountable case manager. Assist with holding team meeting discussing goals and matrix of the team and department. Working as a case manager specialty pharmacy in order maintain data and updates dealing with the support projects of the department.
Assisting drivers with route directions in real time remotely checking them in for schedules, and device related package issues. Provided technical assistance for driver apps that are used for route and checking in drivers for work. Responding to customer logistics emails within a timed environment, following up customers a necessary. Leading team meeting when the manager is not available to do so. Adherence guidelines meeting on a weekly and month quarter, high call volume. Worked overflow calls and emails for customer service as needed.
Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient. Obtains intake demographic information from caller. Strong project management skills to implement various programs within the job scope.
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