Ambria Bennett
Jacksonville,FL
Summary
Reliable individual bringing 8 years of experience in healthcare environments. Maintains positive relationships with providers, patients, and insurance companies. A team player with a vast knowledge of claims, appeals, and benefits. Meticulous attention to detail and execute tasks with precision in all responsibilities.
Overview
7
7
years of professional experience
Work History
Patient Account Representative
Orlando Health
05.2022 - Current
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
- Electronically submitted bills according to compliance guidelines.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
- Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
Strategic Provider Services
Florida Blue - Blue Cross Blue Shield Of Florida
07.2020 - 05.2022
- Educated providers on guidelines and policies, resulting in increased adherence to industry regulations.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Increased efficiency by accurately entering provider data into company systems and databases.
- Promoted positive relationships between the organization and its network providers through timely responses to inquiries and effective issue resolution.
- Expedited resolution times for appeals cases by efficiently managing workload and prioritizing urgent matters.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
Member/Provider Services Representative
Florida Blue - Blue Cross Blue Shield Of Florida
04.2019 - 07.2020
- Assisting State of Florida employees only
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
- Promoted positive relationships between the organization and its network providers through timely responses to inquiries and effective issue resolution.
- Maintained up-to-date knowledge on company products, services, and industry trends to provide accurate information to providers.
Member Care Specialist
Florida Blue - Blue Cross Blue Shield Of Florida
07.2017 - 04.2019
- Improved member satisfaction by providing exceptional customer service and addressing concerns promptly.
- Contributed proactively towards achieving shared goals as an active participant in cross-departmental projects aimed at improving overall membership experience quality levels significantly over time.
- Served as a reliable point of contact for members experiencing difficulties or seeking support in navigating organizational resources.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Education
High School Diploma -
A. Philip Randolph Academies
Jacksonville, FL06.2015
Skills
- HIPAA Compliance
- Insurance Verification
- Insurance Billing
- Multiscreen/Application user
- Follow-up skills
- Data entry proficiency
- Medical terminology knowledge
- Team Collaboration
- Healthcare industry understanding
- Verbal and written communication
- Multitasking and Organization
Timeline
Patient Account Representative
Orlando Health
05.2022 - Current
Strategic Provider Services
Florida Blue - Blue Cross Blue Shield Of Florida
07.2020 - 05.2022
Member/Provider Services Representative
Florida Blue - Blue Cross Blue Shield Of Florida
04.2019 - 07.2020
Member Care Specialist
Florida Blue - Blue Cross Blue Shield Of Florida
07.2017 - 04.2019
High School Diploma -
A. Philip Randolph Academies