Summary
Overview
Work History
Education
Skills
Timeline
Generic

Amber Berry-Simonis

Summary

Goal-driven professional with over 5 years' experience in financial services, collections and customer care management across diverse industries. 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, compliance and other regulations that affect business operations.

Overview

8
8
years of professional experience

Work History

Billing Coordinator

ZimVie
07.2023 - Current
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections
  • Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
  • Developed comprehensive understanding of medical terminology and coding systems to accurately translate services provided into billable charges on patient accounts.
  • Ensured compliance with industry regulations by staying current on changes in medical coding guidelines and maintaining accurate records.
  • Identified areas for process improvement within the billing department, leading to increased productivity among team members.
  • Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.

Accounts Receivable Specialist

New Horizons In-Home Care
01.2022 - 07.2023
  • Meet daily, weekly, monthly and quarterly payment process deadlines.
  • Supported month-end closing activities by reconciling accounts, preparing reports, and analyzing trends in account performance.
  • Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
  • Utilized Microsoft Excel, and NetSuite software to manage invoices and payments.
  • Strengthened relationships with clients by maintaining open communication channels regarding invoicing and payment schedules.
  • Trained new team members on company policies, software systems, and effective accounts receivable practices for seamless integration into the role.
  • Aided in the reduction of bad debt write-offs through diligent monitoring of aging reports and proactive collections efforts.

Financial Coordinator

Women's Care
04.2021 - 10.2021
  • Prescreened appointments and patient insurance eligibility prior to services
  • Expedited claims processing by accurately submitting electronic claims within established timeframes consistently.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions. Collected out of pocket payments and/or set up payment plans
  • Obtained prior authorizations, submitted claims to insurance companies and resubmitted denials
  • Explained insurance benefits, fees and procedures to patients.
  • Contacted insurance carriers to discuss policies and individual patient benefits.
  • Enhanced revenue collection with diligent follow-ups on outstanding balances and setting up payment plans for patients.
  • Collaborated with clinical teams to optimize patient care coordination and financial management.

Membership Representative

PacificSource, PSA TPA
10.2020 - 04.2021
  • Process incoming forms, files and other notification requests using client plan documents and insurance guidelines
  • Process and reconcile payments received daily
  • Review invoice backup documentation received and record insurance plan adjustments as applicable
  • Accurately interpret plan regulations using applicable publications from IRS and/or other governmental entities as well as internal and external legal and compliance resources
  • Provided exceptional customer service by promptly addressing inquiries, resolving concerns, and offering tailored solutions to meet member needs.

Administrative Editing Assistant

Stephen Gould
01.2020 - 10.2020
  • Examined orders to confirm accuracy, completeness and adherence to customer requirements.
  • Maintained a high level of accuracy while entering orders into the system, ensuring proper billing and shipping information.
  • Coordinated with sales teams to resolve discrepancies, resulting in fewer errors and delays.
  • Processed customer orders in line with established policies and procedures.
  • Contributed to process improvement initiatives by identifying areas for potential enhancements within the order processing department.

Service Representative

Enablx
01.2019 - 01.2020
  • Served as the product resource liaison between clients and current or potential customers
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Maintained comprehensive knowledge of company products and services, ensuring accurate information was relayed to customers at all times.
  • Provided information about company products and services, and capitalized on upsell opportunities.
  • Increased customer retention with exceptional interpersonal skills and proactive problem-solving abilities.

Teller I

TD Bank
01.2017 - 10.2019
  • Processed transactions for customers including servicing customer accounts, accepting loan payments, accepting safe deposit box payments, processing sales of gift cards, cashing checks, verify currency, balancing cash drawer, night deposits, correct discrepancies and make necessary adjustments
  • Oversaw and maintain the bank vault balance. Responsible for opening and closing proceedures.
  • Completed highly accurate, high-volume money counts via both manual and machine-driven approaches.
  • Engaged customers in conversations regarding their current and future financial needs and educated them about products and services offered
  • Contributed to a positive work environment by demonstrating professionalism, courteousness, and a strong work ethic.
  • Increased cross-selling opportunities by identifying customer needs and recommending appropriate banking products or services.
  • Streamlined teller operations by maintaining organized workspaces and adhering to policies and procedures.

Education

Bachelor of Arts - Women's And Gender Studies

Rutgers University
New Brunswick, NJ
01.2018

Skills

  • ERM
  • Microsoft Word
  • Outlook
  • Google
  • Gmail
  • Excel
  • NetSuite
  • Detail oriented
  • Superior Organizational Skills
  • Creative and Analytical Mindset
  • Reliable
  • Strong Computer Literacy

Timeline

Billing Coordinator

ZimVie
07.2023 - Current

Accounts Receivable Specialist

New Horizons In-Home Care
01.2022 - 07.2023

Financial Coordinator

Women's Care
04.2021 - 10.2021

Membership Representative

PacificSource, PSA TPA
10.2020 - 04.2021

Administrative Editing Assistant

Stephen Gould
01.2020 - 10.2020

Service Representative

Enablx
01.2019 - 01.2020

Teller I

TD Bank
01.2017 - 10.2019

Bachelor of Arts - Women's And Gender Studies

Rutgers University
Amber Berry-Simonis