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payment integrity recovery analyst resume example with 20+ 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

Talented Customer Relations Specialist with 10+ years' experience in financial services, collections, and customer care management across diverse industries specializing in the Healthcare Field. Knowledgeable, analytical, and personable with excellent problem solving skills and strengths in areas of credit and collections. Proven to improve workflow efficiencies while maintaining high standards in customer service.

Skills
  • Payment management
  • Investigative research
  • Audit procedures
  • Credit and collections
  • Working collaboratively
  • Relationship building
  • Interpersonal skills
  • Decision-making
  • Troubleshooting
  • Team building
  • Customer support
  • Product organization
  • Quality assurance controls
Experience
Payment Integrity Recovery Analyst, 07/2018 - Current
Honeywell Woonsocket, RI,
  • Utilize problem solving skills and attention to detail to ensure that clients and their members minimalism of loss with higher revenue recoveries.
  • Analyze client data to determine necessary invoice information.
  • Educate our outside clients on the Coordination of Benefits under the NAIC rules on existing files in order to recover refunds for our clients.
  • Collaborate with physicians, hospitals, billing offices and insurance companies to build a trustworthy and ethical environment for a sustainable relationship.
  • Investigate billing discrepancies and implement effective solutions to resolve concerns and prevent future problems.
  • Oversaw disputes resolution and reconciliation for over 500 client accounts.
  • Manage invoicing for organization through cash receipts processing, bank reconciliations and distribution of 700 invoices monthly.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Customer Success Professional, 12/2005 - Current
Parallon City, STATE,
  • Negotiating resolutions by contacting guarantors and patients by telephone following HIPAA regulations and state laws.
  • Increased company profits directly related to my performance with personal annual collections of over $2.5 million.
  • Update accounts with new insurance information such as Medicare, Workers Compensation, TRICARE, Medicaid and private insurance to activate the billing process
  • Main
  • Trained new hires in a classroom setting on company protocol as well as assisting staff on account issues with side-by-side training and online.
  • Boosted Customer Retention satisfaction by 15% working with Service Unit and Management teams to address and resolve concerns.
  • Facilitated quarterly meetings with 24 to 30 employees discussing employee concerns and how to execute a positive work culture.
Senior Client Service Agent, 12/2000 - 12/2005
FedEx City, STATE,
  • Promoted to Senior CSA after passing the required testing program.
  • Face to face customer service at Louisville Airport drop off location.
  • Worked independently in a time sensitive office environment where multi-tasking skills were needed.
  • Answered several phone lines for incoming calls.
  • Imported and exported international shipments along with data entry in KIAC software system.
  • Enhanced problem solving skills to ensure excellent customer service experience.
  • Trained service agents and co-workers on P.O.S system and normal daily duties.
  • Balanced out daily collections and prepared documents to be sent to Memphis Hub every evening using GENESIS system.
  • Client Retention by building trustworthy relationships with corporate clients by applying excellent communication and interpersonal skills.
  • Trouble shooting and data entry for clients tracking requests, problems and solutions in shipping environment.
  • Managed and updated physical and digital client account information to keep records accurate and current.
Education and Training
B.A.: Business Administration Management, Expected in 01/2016
-
McKendree University - Louisville, KY
GPA:
Status -

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Resume Overview

School Attended

  • McKendree University

Job Titles Held:

  • Payment Integrity Recovery Analyst
  • Customer Success Professional
  • Senior Client Service Agent

Degrees

  • B.A.

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