Adrienne Dollmeyer
Princeton
Summary
Results-driven professional with extensive experience in the health insurance sector. Expertise in fostering client relationships and enhancing customer satisfaction through effective communication and strategic problem-solving. Demonstrated adaptability across various environments, with a strong focus on delivering superior customer experiences. Proficient in data analysis, trend identification, and implementing solutions that promote client success.
Overview
18
18
years of professional experience
Work History
Patient Account Representative
Guidehouse
Lewisville
02.2024 - Current
- Updated existing patient files with relevant information such as changes in address or contact information.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Maintained detailed notes on all patient interactions for future reference purposes.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
Implementation Specialist
Blue Cross Blue Shield of Texas
11.2018 - 10.2021
- Empowered clients to understand contract terms by collaborating with account executives to troubleshoot pricing challenges, resulting in a 25% increase in customer satisfaction.
- Analyzed 400+ nonstandard contracts to ensure completion and compliance with auditing.
- Used HTML and JavaScript to create web content for 5000+ clients monthly and ad hoc, enhancing efficient and accessible communication with clients.
- Assisted internal clients with data tracking by using SQL software to generate monthly queries, which resulted in improved communication and processes.
- Developed, implemented, and conducted 10+ one-on-one trainings for colleagues on standard operating procedures, leading to revamped onboarding training for all new team members.
Accounts Receivable Specialist
Texas Oncology
05.2017 - 11.2018
- Resolved 1000+ billing issues by collaborating with insurance companies and providers to understand the reason for claim denials.
- Used company-specific software to diagnose discrepancies in claims using company-specific software to correct and resubmit claims for payment.
Senior Accounts Receivable Specialist
McKesson
05.2014 - 05.2017
- Streamlined workflow process by creating standard operating procedures, bringing 4,000+ backlogged accounts up to date.
- Provided one-on-one process training to 25+ colleagues, coaching employees on facilitating calls with insurance companies, interacting with external clients, and filing corrected claims.
- Collaborated with a portfolio of 5+ external clients to ensure that claims submitted were accurate and timely.
Data Analyst/Eligibility Specialist/Claims Analyst
Aetna Insurance
08.2007 - 05.2014
- Utilized company-specific technology to generate a query for a claims summary that was presented in bi-weekly update meetings with internal and external stakeholders.
- Determined client’s additional coverage by facilitating calls with insurance companies to ensure claims were paid accordingly.
- Reviewed medical claims to determine accuracy by correcting system-generated edits and processing claims for payment.
Education
Certificate - Medical Billing and Coding
Everest College
09.2006
Skills
- Medical coding
- Claims processing
- Billing reconciliation
- Insurance verification
- Patient account management
- Customer service
Timeline
Patient Account Representative
Guidehouse
02.2024 - Current
Implementation Specialist
Blue Cross Blue Shield of Texas
11.2018 - 10.2021
Accounts Receivable Specialist
Texas Oncology
05.2017 - 11.2018
Senior Accounts Receivable Specialist
McKesson
05.2014 - 05.2017
Data Analyst/Eligibility Specialist/Claims Analyst
Aetna Insurance
08.2007 - 05.2014
Certificate - Medical Billing and Coding
Everest College
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