Results-driven Collections Representative with a knack for getting debtors to open-up and communicate. Outstanding negotiation and customer service skills. Proficient in processing payments and accurately recording information.
Education
MBA - Business Administration And Management
University of Phoenix
03.2019
Bachelor of Science - Health Administration
University of Phoenix
Tempe, AZ
10.2017
Skills
Business Administration
Computer knowledge
Managing
Team management
Operational improvement
Team building
Problem resolution
Business operations
Planning and coordination
Project organization
Organization
Communications
MS Office
Active Directory
Microsoft SQL Server
Operating Systems
Electronic Health Records (10 years)
Microsoft Access
ICD-10
Medical management
Medicare
EHR systems
Healthcare Management
Records Maintenance
Payment Acceptance
Risk Management
Debt Resolutions
Timeline
Senior RCM Collections Representative
Accredo Health Group / Express Scripts / Cigna
10.2022 - Current
Eligibility Representative
The Cigna Group
04.2021 - 10.2022
Patient Access Registration Representative
Advent Health
02.2017 - 02.2019
Medical Assistant
Newsom Eye & Laser Center
06.2014 - 02.2017
Assistant Director of Admissions
Azure College
04.2012 - 06.2014
MBA - Business Administration And Management
University of Phoenix
Bachelor of Science - Health Administration
University of Phoenix
Work History
Senior RCM Collections Representative
Accredo Health Group / Express Scripts / Cigna
10.2022 - Current
Updated claims system to track claim status and provide relevant information to other department.
Checked documentation for accuracy and validity on updated systems.
Analyzed and addressed escalated claims to resolve issues quickly.
Interviewed policyholders to verify information and obtain additional details.
Posted payments to accounts and maintained records.
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Communicated effectively with staff members of operations, finance and clinical departments.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Eligibility Representative
The Cigna Group
04.2021 - 10.2022
Achieved high client satisfaction rates through effective communication and empathetic support during the eligibility process.
Effectively managed competing priorities while maintaining a focus on providing exceptional customer service.
Exceeded performance metrics consistently by accurately determining program eligibility within established timeframes.
Ensured timely resolution of discrepancies by conducting thorough research and documentation.
Collaborated with team members to maintain accurate records and provide seamless service for applicants.
Processed and certified documents for accuracy and compliance with government regulations.
Balanced responsibilities as an Eligibility Representative with ongoing education pursuits or additional roles within the organization, demonstrating strong time management skills and dedication to continued professional growth.
Enhanced client satisfaction by efficiently processing eligibility applications and addressing inquiries.
Patient Access Registration Representative
Advent Health
02.2017 - 02.2019
Improved overall work environment through active participation in department meetings, sharing ideas for enhancements, and supporting team-building initiatives.
Provided thorough information about admissions policies, financial requirements, and check-in procedures.
Coordinated scheduling for patient follow-up appointments in accordance with physician requests.
Served as a reliable resource for colleagues seeking assistance with complex cases or unfamiliar scenarios in the registration process.
Upheld HIPAA regulations and standards for protecting patient information.
Retrieved medical data for physicians and patients.
Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
Medical Assistant
Newsom Eye & Laser Center
06.2014 - 02.2017
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Called and faxed pharmacies to submit prescriptions and refills.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Assistant Director of Admissions
Azure College
04.2012 - 06.2014
Maintained full knowledge of institution's catalog to fully explain course offerings and select programs to best fit each potential student's needs and goals.
Implemented strategies to increase student recruiting, engagement and retention.
Spearheaded technology initiatives to support student learning and academic excellence.
Reduced application processing times by identifying areas of inefficiency and implementing procedural improvements within the office workflow.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Affiliations
The National Society of Leadership and Success
Quote
Every problem is a gift—without problems we would not grow.
Resolution Team Lead/ Patient Care Coordinator at Cigna Health/Express Scripts AccredoResolution Team Lead/ Patient Care Coordinator at Cigna Health/Express Scripts Accredo