Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.
Overview
25
25
years of professional experience
Work History
Insurance Follow-Up Representative
San Jaun Regional Medical Center
02.1999 - Current
Worked on client account, NM Breast & Cervical Cancer, San Juan Medical Foundation - Riley funds and Cathy Lincoln, IHS account with all Indian Health services on Navajo reservation, San Juan Detention Center - Adult Detention, Juvenile Detention and DWI.
Billing client account per contract and adjusting account accordingly.
Billing NM Breast & Cervical Cancer per contract and adjust account accordingly. Billed Cathy Lincoln and Riley funds for some patients and called San Juan Medical Foundation to find out if patient were approved ot not.
Billing IHS service unit requesting PO and some claim will be denied for alternate resource. They review account for other insurance or turn account self pay. If PO is received and bill with PO to Fiscal Intermediary for payment.
Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
Enhanced customer satisfaction by providing timely and accurate updates on the status of insurance claims.
Streamlined processing times for insurance claims by collaborating with billing departments to ensure proper documentation and coding practices were followed.
Increased efficiency in resolving complex cases by maintaining strong relationships with insurance providers, facilitating clear communication and prompt issue resolution.
Supported team members in claim follow-up efforts, contributing to overall departmental success through proactive collaboration and information sharing.
Reduced errors in claim submissions by conducting thorough audits of patient accounts prior to submission, ensuring accuracy and completeness of information.