Diana Porter
Revenue Cycle Representative
Denver,CO
Summary
Mission Statement: Strive to exceed expectations by delivering second-to-none service, maintaining company centricity in all initiatives and interactions -while always putting immediate priorities first. Career Snapshot Seventeen years of commended performance as an expert in customer care/communications, problem solving, relationship building and support; with training capabilities. MS Office/Outlook experienced with additional proficiencies in assorted software databases. Awards FEDEX “Employee of the Month,” 2012 Voted “Anthem team cheerleader” for promoting team morale Computer literacy: Windows Microsoft -Word, Excel, Outlook, Citrix, search engines, typing and data entry proficient Customer Service & Support Specialist Offering an award-winning track record of customer care excellence within high-volume environments that include… Logistic Support Customer Service Retail>Call Centers Key Skills Impeccable Customer Service/Dispatching Capabilities Troubleshooting/ Problem Solving, Operations/Technical/User Support Complaint Handling & Documentation, Methodical Revenue Cycle representative with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 7 years of related experience to a dynamic position with room for career growth. Deadline-driven Revenue Cycle Analyst promoting years of expertise delivering technical information to audiences in easily-understood terms. Highly communicative individual with superior problem solving and troubleshooting skills. Offering expert knowledge in strategizing new ways of assessing data. Demonstrated success in supporting and enhancing revenue cycles. Knowledgeable about debt management, collections policies and insurance payments. Good verbal and written communication skills. Well-qualified Medical Billing Specialist proficient in ICD-10 coding and Software. Demonstrated success analyzing existing systems and providing recommendations for improvement. Forward-thinking and hardworking with flexible and diligent approach. Critical thinking professional with talents in validating workflows, maintaining a knowledge of policy changes to insurance plans and sharing best practices with management. A reliable Revenue Cycle Analyst known for successfully handling various tasks in deadline-driven environments.
Overview
7
7
years of professional experience
Work History
Revenue Cycle Representative
STRIDE
Denver, COLORADO
04.2021 - Current
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Generated receivables reports and offered improvement recommendations.
- Contacted responsible parties for past due debts.
- Reached out to insurance companies to verify coverage.
- Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
- Communicated revenue cycle information to non-technical audiences in easily-understood terms.
- Expertly extracted necessary data from records and files and assessed how it related to business operations information.
- Managed and responded to correspondence and inquiries from customers and vendors.
- Assessed data and information to verify entry, calculation and billing code accuracy.
- Streamlined procedures to increase efficiency and productivity.
- Identified and suggested remedies for areas of improvement based on detailed daily reports and analysis.
- Managed complex finance projects under direction of senior management to meet deadlines and improve processes
- Managed complex problem-solving for upper management in order to complete projects on-time
CO Pharmacy Technician
King Soopers
Denver, Colorado
10.2018 - 07.2021
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.
- Communicated directly with doctors offices via telephone, fax, and email.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Assisted in preparation, distribution, and storage of pharmaceuticals.
- Counted, measured, and compounded medications following standard procedures.
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
- Stocked, labeled and inventoried medication to keep accurate records.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
- Resolved non-routine issues like third-party billing, computer system and customer service issues.
- Collected co-payments or full payments from customers.
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.
- Reviewed and verified customer information and insurance provider information.
- Set up and modified patient profiles to include current information such as medications and insurance details.
Customer Care Rep II
ANTHEM
Denver, CO
09.2015 - 10.2018
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Responded to customer needs through competent customer service and prompt problem-solving.
- Assisted call-in customers with questions and orders.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Built long-term, loyal customer relations by providing top-notch service and detailed order, account and service information.
- Maintained accurate and current customer account data with manual forms processing and digital information updates.
- Educated clients on account services and resolved client inquiries regarding statement information and account balances.
- Logged call information and solutions provided into internal database.
- Coordinated timely responses to online customer communication and researched complex issues.
- Maintained superior quality by reducing downtime to maximize customer support and meet revenue goals.
- Eliminated inefficiencies by educating and training new employees on best practices and customer care procedures.
- Extremely functional in high volume environments providing: face-to-face, phone and online customer service/support, effective communication skills, software proficiency, billing, medical claims assessment, vendor relations, document publishing, data entry for processing, “In the know” product knowledge, customer retention, de-escalation management/issue resolution, ability to handle stressful situations, form completion, process/policy implementation, contacting customer insurance companies/providers and vendors on customer’s behalf, interpreting/quoting insurance policy information, HIPAA familiar, request fulfillment, and working knowledge of pharmacy procedures
- Additional work experience includes; dispatching, equipment operation, logistic/operations knowledge, clerical/reception responsibilities, inventory, cashiering, ordering supplies, stocking, sales, and training skills.
Education
Some College (No Degree) - Nursing
Community College of Denver
Denver, COSome College (No Degree) - Criminal Justice
Community College of Auror
Aurora, COSkills
- Analyzing Claims
- Diagnostic Codes
- Past Due Balance Management
- Charge Capturing
- Procedural Codes
- Insurance Benefits Understanding
- Strategic Initiatives
- CMS Guidelines
- Medical Terminology Knowledge
- Financial Records and Processing
- HIPAA Regulations
- HCPCS Coding Guidelines
- Health Programs
- Client Information Database Systems
- Information Updates
- Developments Monitoring
- Error Reviews
- Verbal and Written Communication
- Revenue Monitoring
- Team Training and Mentoring
- Best Practices and Standards
- Revenue Operations
- Revenue Cycle support
- Bill Payment and Recordkeeping
- Benefits Explanations
- Proactive and Self-Motivated
- Record Reconciliation
- Payment Arrangements
- Patient Account Reviews
- Document Coding and Classification
- Customer Relations
- Information Systems
- Microsoft Office Suite Proficiency
- Service Billing
- Software Applications
- Handling Confidential Materials
- Standards Compliance
Timeline
Revenue Cycle Representative
STRIDE
04.2021 - Current
CO Pharmacy Technician
King Soopers
10.2018 - 07.2021
Customer Care Rep II
ANTHEM
09.2015 - 10.2018
Some College (No Degree) - Nursing
Community College of Denver
Some College (No Degree) - Criminal Justice
Community College of Auror
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