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Customer Service Physician Billing Specialist resume example with 9+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

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.

Skills
  • Report generation
  • Credit card payment processing
  • Report creation
  • Office equipment proficiency
  • Insurance knowledge
  • Epic experience
  • Clerical support
  • Microsoft Office expertise
  • Call center experience
  • Data evaluation
  • Customer relations
  • Problem-solving abilities
  • Project management abilities
Education and Training
ECPI University Virginia Beach, VA Expected in 08/2021 BBA : Business Administration - GPA :
Columbus State University Columbus, GA Expected in BBA : Business Administration - GPA :
Certifications
  • Microsoft Office Specialist (MOS)
  • Active Project Management Certification
Experience
Community Care - Customer Service/Physician Billing Specialist
Castleton On Hudson, NY, 03/2020 - Current

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.

  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Evaluated customer account information to assess current issues and determine potential solutions.
  • Documented conversations with customers to track requests, problems and solutions.
  • Researched and rectified account discrepancies.
  • Performed with precision by entering data accurately and researching to resolve questions.
  • Verified final claim submissions by comparing account charges with documentation.
  • Effectively coordinated all communications between patients, billing personnel and insurance carriers.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
Keysight Technologies - Patient Support Specialist
Alpharetta, GA, 01/2019 - 03/2020

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.

  • Educated patients and families on treatments, procedures, medications, continuing care and community resources.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Created agendas and communication materials for team meetings.
Anthem, Inc. - Logistics Coordinator
Harrison, AR, 04/2017 - 01/2019

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.

  • Relayed information between drivers and recipients, including ETA and potential delays.
  • Coordinated with freight forwarders to expedite international shipments.
  • Worked with vendors to obtain optimal prices and delivery schedules.
  • Obtained and coordinated materials required to meet contract objectives.
Anthem - Utilization Management Representative
City, STATE, 01/2012 - 04/2017

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.

  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Juggled multiple projects and tasks to ensure high quality and timely delivery.
  • Served as liaison between certain departments to implement new improvement plans and changes.
  • Supported asset transfers, lender and equity requests, and audit inquiries.
  • Identified operational and performance issues and worked with managers to resolve concerns.
  • Completed various reports and analyzed each report to decide where improvements could be made.

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Resume Overview

School Attended

  • ECPI University
  • Columbus State University

Job Titles Held:

  • Customer Service/Physician Billing Specialist
  • Patient Support Specialist
  • Logistics Coordinator
  • Utilization Management Representative

Degrees

  • BBA
  • BBA

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