Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic
Marelyn Arguellas

Marelyn Arguellas

Champaign

Summary

Highly motivated energetic professional with over 25 years’ experience in providing exemplary customer service. Effectively manages high-priority projects with over 6 years’ experience in investigating high risk accounts in collections. Experienced in working with high volume calls in a call center and processing insurance policies

Team-oriented professional prepared to take on leadership responsibilities with focus on driving results and fostering collaboration. Proven success in managing teams, overseeing project execution, and adapting to dynamic work environments. Known for reliability, flexibility, and strong organizational skills, ensuring seamless team operations and achievement of goals.

Experienced leadership professional prepared to guide teams effectively. Strong focus on collaboration and achieving results, ensuring adaptability with changing needs. Proficient in project management, conflict resolution, and strategic planning. Reliable and flexible, fostering cohesive and productive team environment.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Team Lead

Carle Health Hospital
06.2023 - Current
  • Team lead/support to staff
  • QA Staff-phone calls and documentation
  • Print UB04/HCFA
  • Patient Concerns
  • Reach out to supervisors, managers, VP's to have accounts reviewed when patient contests a charge
  • QA Adjustments when approved
  • Submit Billing Inquiry and Stop Bill to have billing reviewed
  • Handle supervisor calls and interviews
  • Train new staff on Estimates, FMLA/Disability forms, Interviews, MyCarle, Onbase, Experian, Epic/Hyperspace, Apex
  • Cover branch locations when a Customer Service Rep is out of the office

Policy Service Specialist

CNA Insurance
01.2016 - 06.2023
  • Perform quoting, rating, and routine maintenance for policies with at least 98% quality and at 100% productivity
  • Receive/review incoming endorsement and renewal transactions while working with underwriters to resolve discrepancies and process requests in a timely manner
  • Refer to underwriting guidelines and other policy support tools to ensure accuracy in processing as well as offer feedback to increase efficiency in processing
  • Respond to various requests received from agents, underwriters, and leaders for multiple lines of business
  • Act with a sense of urgency to advance priorities of the organization by responding to policy service requests from underwriting and agents for multiple lines of business
  • Discuss policy in full for better understanding for the customer

Financial Assessor Patient Accounting

Northwestern Medicine
01.2014 - 10.2015
  • Answer high volume calls for physician billing and hospital billing inquiries from patients, third party insurance, clinical office reps, attorneys and commercial insurance reps
  • Reverse and void charges
  • Process refunds on overpaid accounts, post payments, assist in finding missing payments
  • Write off Simple adjustments according to departmental standards and procedures
  • Contact Insurance to appeal or rebill claims, authorize payment plans

Education

Phlebotomy training program - Phlebotomy

Wilbur Wright/Casa central
03.2012

Skills

  • Attention to detail
  • Conflict resolution
  • Customer focus
  • Coaching and mentoring
  • Performance monitoring
  • Quality control
  • Schedule management
  • Complaint resolution
  • Production monitoring
  • Relationship building
  • Client communication
  • Employee training
  • Employee engagement
  • Problem-solving
  • Teamwork and collaboration
  • Team supervision
  • Team motivation
  • Staff training
  • Mentoring
  • Quality improvement
  • Cash handling

Certification

Phlebotomy

Languages

Spanish
Full Professional

Timeline

Team Lead

Carle Health Hospital
06.2023 - Current

Policy Service Specialist

CNA Insurance
01.2016 - 06.2023

Financial Assessor Patient Accounting

Northwestern Medicine
01.2014 - 10.2015

Phlebotomy training program - Phlebotomy

Wilbur Wright/Casa central
Marelyn Arguellas